Caitlin Lian XI-Le Johnson

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6362010102 Issued in NU

Practice address

40 E Ferry St
Detroit, MI 48202-3802

Phone

(734) 785-7705

NPI assigned

Jan 29, 2025

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1558174060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 SHILLING DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143553",
            "telephone_number": "586-419-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E FERRY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023802",
            "telephone_number": "734-785-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAITLIN",
        "middle_name": "LIAN XI-LE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": "6362010102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benita Johnson, CHW
• Bernard A Johnson, D.D.S.
• Bianca Johnson
• Billy Johnson
• Brittany Johnson
• Carolynn Johnson
• Challaduh Johnson
• Chanique Tachelle Johnson
• Channell Loraine Johnson, LLMSW
• Chantell Renee Johnson

• Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.