Michael R Johns PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002759 Issued in GA

Legal business name

MICHAEL R JOHNS PSYD

Practice address

3678 Vineville Ave
Macon, GA 31204-1868

Phone

(478) 477-2220

Fax

(478) 477-4455

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Katherine Boyer

Title

Office Manager

Phone

(478) 477-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Robert Johns, PSY.D.

  • Clinical Psychologist
  • Macon, GA
  • NPI 1437227618
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1073833638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3678 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041868",
            "telephone_number": "478-477-2220",
            "fax_number": "478-477-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3678 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041868",
            "telephone_number": "478-477-2220",
            "fax_number": "478-477-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R JOHNS PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-477-2220"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "545766522F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Macon, GA
• Providers in Macon, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.