Organization Active NPI

Staff Unlimited, Inc.

Doing business as Neuro-Diagnostics, Inc.

  • Clinical Psychologist
  • Flint, MI
National Provider Identifier
1952706186
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
STAFF UNLIMITED, INC.
Doing business as
Neuro-Diagnostics, Inc.
Practice address
5084 W Pierson Rd
Suite 2
Flint, MI 48504-1344
Phone
(810) 228-3749
Fax
(810) 228-3786
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Marcia E Johnson, PSY.D.
Title
Owner
Phone
(810) 228-3749

Specialties & licenses 1

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

Addresses

Primary practice location

5084 W Pierson Rd
Suite 2
Flint, MI 48504-1344

Mailing address

5084 W Pierson Rd
Suite 2
Flint, MI 48504-1344
Phone (810) 228-3749

Other names 1

  • Neuro-Diagnostics, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

5084 W Pierson Rd
Ste 2
Flint, MI 48504
Phone (810) 228-3749

26555 Evergreen Rd
Ste 830
Southfield, MI 48076
Phone (248) 350-3650

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1952706186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5084 W PIERSON RD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041344",
            "telephone_number": "810-228-3749",
            "fax_number": "810-228-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 W PIERSON RD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041344",
            "telephone_number": "810-228-3749",
            "fax_number": "810-228-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFF UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-228-3749",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro-Diagnostics, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 31, 2014; 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.