Active NPI
John W. McCaskill, PH.D., PLLC
- Clinical Psychologist
- Plymouth, MI
National Provider Identifier
1356660583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012562
- Legal business name
- JOHN W. MCCASKILL, PH.D., PLLC
- Practice address
- 409 Plymouth Rd Ste 250
Plymouth, MI 48170-1842 - Phone
- (734) 416-9098
- Fax
- (734) 416-0158
- NPI assigned
- May 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Walton McCaskill IV, PH.D.
- Title
- Licensed Clinical Psychologist
- Phone
- (734) 416-9098
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301012562 | MI | Primary |
Addresses
Primary practice location
409 Plymouth Rd Ste 250
Plymouth, MI 48170-1842
Mailing address
409 Plymouth Rd Ste 250
Plymouth, MI 48170-1842
Phone (734) 416-9098
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801825542 | Other | MI | NPPES |
| 6301012562 | Other | MI | BOARD OF PSYCHOLOGY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275091200000",
"number": "1356660583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 PLYMOUTH RD STE 250",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701842",
"telephone_number": "734-416-9098",
"fax_number": "734-416-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 PLYMOUTH RD STE 250",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701842",
"telephone_number": "734-416-9098",
"fax_number": "734-416-0158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN W. MCCASKILL, PH.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-29",
"status": "A",
"authorized_official_last_name": "MCCASKILL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "WALTON",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "734-416-9098",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "IV",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1801825542",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PSYCHOLOGY",
"identifier": "6301012562",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.