Bay City Neuropsychology, P.L.L.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301013840 Issued in MI

Legal business name

BAY CITY NEUROPSYCHOLOGY, P.L.L.C.

Practice address

800 S Euclid Ave
Suite 1
Bay City, MI 48706-3355

Phone

(989) 667-0100

Fax

(989) 667-0108

NPI assigned

Mar 30, 2010

Last updated

Mar 30, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amanda Jean Schafer Johnson, PHDNPI 1396987871

Title

Clinical Neuropsychology

Phone

(989) 667-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Jean Schafer Johnson, PHD

  • Clinical Psychologist
  • Marquette, MI
  • NPI 1396987871

  Clinical Neuropsychologist

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1063737377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S EUCLID AVE",
            "address_2": "SUITE 1",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063355",
            "telephone_number": "989-667-0100",
            "fax_number": "989-667-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S EUCLID AVE",
            "address_2": "SUITE 1",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063355",
            "telephone_number": "989-667-0100",
            "fax_number": "989-667-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITY NEUROPSYCHOLOGY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "SCHAFER JOHNSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGY",
        "authorized_official_telephone_number": "989-667-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301013840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI 1693",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Area Physician Services PC
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• Bay City Comfort Care
• Bay City Cru, LLC
• Bay City Dental Clinic
• Bay City Odyssey House, Inc.
• Bay City Opco LLC (Carriage House Nursing and Rehab)
• Bay City Orthopedic Surgery PC (Terrence J. Cherwin, D. O.)
• Bay City Physical Therapy Institute
• Bay City Physical Therapy Institute

• Clinical Neuropsychologist in Bay City, MI
• Providers in Bay City, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.