Organization Active NPI

Johnson & Associates, PC

  • Clinical Psychologist
  • Plymouth, MI
National Provider Identifier
1821235102
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301000908 Issued in MI
Legal business name
JOHNSON & ASSOCIATES, PC
Practice address
48685 Beaver Creek Dr
Plymouth, MI 48170-3382
Phone
(734) 453-3799
Fax
(866) 275-9190
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Dr. Paul A Johnson, PH.D.
Title
Owner
Phone
(734) 453-3799

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6301000908 MI Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 4101000434 MI

Addresses

Primary practice location

48685 Beaver Creek Dr
Plymouth, MI 48170-3382

Mailing address

48685 Beaver Creek Dr
Plymouth, MI 48170-3382
Phone (734) 453-3799

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1821235102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48685 BEAVER CREEK DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703382",
            "telephone_number": "734-453-3799",
            "fax_number": "866-275-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48685 BEAVER CREEK DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703382",
            "telephone_number": "734-453-3799",
            "fax_number": "866-275-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-453-3799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301000908",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101000434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.