Active NPI
John Robert Milanovich, PH.D.
- Clinical Neuropsychologist
- Ann Arbor, MI
National Provider Identifier
1154592053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6301010984
- Practice address
- 2001 Commonwealth Blvd
Ann Arbor, MI 48105-2947 - Phone
- (734) 222-0201
- Fax
- (734) 222-0234
- NPI assigned
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6301010984 | MI | Primary |
Addresses
Primary practice location
2001 Commonwealth Blvd
Ann Arbor, MI 48105-2947
Mailing address
2001 Commonwealth Blvd
#205
Ann Arbor, MI 48105-2947
Phone (734) 222-0201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1154592053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 COMMONWEALTH BLVD",
"address_2": "#205",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052947",
"telephone_number": "734-222-0201",
"fax_number": "734-222-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 COMMONWEALTH BLVD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052947",
"telephone_number": "734-222-0201",
"fax_number": "734-222-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILANOVICH",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-19",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "6301010984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.