Active NPI
Johnathan Agius, LLP
- Psychologist
- Fenton, MI
National Provider Identifier
1659762441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301016217
- Practice address
- 1440 Torrey Rd Ste E
Fenton, MI 48430 - Phone
- (810) 288-6652
- NPI assigned
- Feb 15, 2015
- Last updated
- Jun 4, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301016217 | MI | Primary |
Addresses
Primary practice location
1440 Torrey Rd Ste E
Fenton, MI 48430
Mailing address
1440 Torrey Rd
Ste E
Fenton, MI 48430-1340
Phone (810) 210-4894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fenton Therapy Services LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Fenton, MI
- NPI 1306376546
-
- Psychologist
- Fenton, MI
- NPI 1548759541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1659762441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 TORREY RD",
"address_2": "STE E",
"city": "FENTON",
"state": "MI",
"postal_code": "484301340",
"telephone_number": "810-210-4894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 TORREY RD STE E",
"city": "FENTON",
"state": "MI",
"postal_code": "48430",
"telephone_number": "810-288-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGIUS",
"first_name": "JOHNATHAN",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-15",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301016217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.