Active NPI
Edgar Francis Johns
- Psychologist
- Flint, MI
National Provider Identifier
1669134458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362009333
- Practice address
- 432 N Saginaw St Ste 415&433
Flint, MI 48502-2013 - Phone
- (734) 564-9464
- NPI assigned
- Oct 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 6362009333 | MI | Primary |
Addresses
Primary practice location
432 N Saginaw St Ste 415&433
Flint, MI 48502-2013
Mailing address
6443 Dalton Dr
Flushing, MI 48433-2332
Phone (734) 564-4964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009333 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1669134458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6443 DALTON DR",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332332",
"telephone_number": "734-564-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 N SAGINAW ST STE 415&433",
"city": "FLINT",
"state": "MI",
"postal_code": "485022013",
"telephone_number": "734-564-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "EDGAR",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362009333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.