Individual provider Active NPI

Giovanni Antonio Minonne

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1295940658
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301012819 Issued in MI
Practice address
555 E William St Apt 22H
Ann Arbor, MI 48104-2427
Phone
(734) 883-6262
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301012819 MI Primary

Addresses

Primary practice location

555 E William St Apt 22H
Ann Arbor, MI 48104-2427

Mailing address

555 E William St Apt 22H
Ann Arbor, MI 48104-2427
Phone (734) 883-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301012819MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Giovanni Minonne PH.D. Psychologist CurrentSince Dec 6, 2022 Accepting new patients
Center for Family Psychiatry, PLC PastSince Sep 1, 2004 Accepting new patients
Center for Family Psychiatry, PLC PastSince Jun 19, 2007 Accepting new patients
Regents of the University of Michigan-Psychological Clinic Psychologist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1295940658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E WILLIAM ST APT 22H",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042427",
            "telephone_number": "734-883-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E WILLIAM ST APT 22H",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042427",
            "telephone_number": "734-883-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINONNE",
        "first_name": "GIOVANNI",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.