Organization Active NPI

Mindmatters LLC

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1669625752
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301010984 Issued in MI
Legal business name
MINDMATTERS LLC
Practice address
3007 Miller Rd
Ann Arbor, MI 48103-2122
Phone
(734) 222-0201
Fax
(734) 222-0234
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. John Robert Milanovich Jr., PH.D.
Title
Director/Clinical Psychologist
Phone
(734) 222-0201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301010984 MI Primary

Addresses

Primary practice location

3007 Miller Rd
Ann Arbor, MI 48103-2122

Mailing address

3007 Miller Rd
Ann Arbor, MI 48103-2122
Phone (734) 222-0201

Other names 1

  • JOHN ROBERT MILANOVICH Other name

National Provider Directory

National Provider Directory

Locations

201 E Liberty St
Ste 21
Ann Arbor, MI 48104
Phone (734) 383-3223

3007 Miller Rd
Ann Arbor, MI 48103
Phone (734) 222-0201

2001 Commonwealth Blvd
Ste 205
Ann Arbor, MI 48105
Phone (734) 222-0201

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1669625752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 MILLER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032122",
            "telephone_number": "734-222-0201",
            "fax_number": "734-222-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 MILLER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032122",
            "telephone_number": "734-222-0201",
            "fax_number": "734-222-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDMATTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "MILANOVICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-222-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHN ROBERT MILANOVICH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.