Benjamin Eric Johnson
Individual provider Active NPI Psychiatry Physician · Ada, MI
NPI 1356923296 · NPPES record last updated Jun 20, 2025
Key facts
- NPI
- 1356923296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 4301513545 (MI)
- Practice address
- 5086 Clear Springs Dr SE
Ada, MI 49301-7600 - Phone
- (989) 400-3049
- Fax
- (615) 327-7136
- NPI assigned
- Apr 21, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Recovery Physicians Network of Michigan
Practice addresses (Care Compare)
1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607
Phone (800) 949-8439
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251028001674 | MI | Practitioner - Psychiatry | 2860981164 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301513545 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Physicians Network of Michigan | Psychiatry | Current |
Accepting new patients |
Locations
1055 Medical Park Dr SE
Grand Rapids, MI 49546
Phone (616) 942-9610
2172 East Paris Ave SE
Ste A
Grand Rapids, MI 49546
Phone (616) 871-6460
101 W Townsend Rd
Saint Johns, MI 48879
Phone (989) 403-6022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301513545 | MI | Yes |
Addresses
Primary practice location
5086 Clear Springs Dr SE
Ada, MI 49301-7600
Mailing address
1601 23Rd Ave S Ste 3105
Nashville, TN 37212-3196
Phone (615) 327-7119
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.