Mrs Michelle Johnson-mastin, is a
Psychologist - Clinical based in Berrien Center, Michigan. Mrs Michelle Johnson-mastin is licensed to practice in Michigan (license number 680193354) and her current practice location is
6418 Deans Hill Rd, Berrien Center, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 815-5500.
NPI number for Mrs Michelle Johnson-mastin is 1467804104 and her current mailing address is 6418 Deans Hill Rd, Berrien Center, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467804104.
Healthcare Provider's Profile
Full Name | Mrs Michelle Johnson-mastin |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 6418 Deans Hill Rd, Berrien Center, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467804104
- Provider Enumeration Date: 07/06/2016
- Last Update Date: 07/13/2016
Medical Identifiers
Medical identifiers for Mrs Michelle Johnson-mastin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467804104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 680193354 (Michigan) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
104100000X | Social Worker | 6801093354 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Michelle Johnson-mastin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Michelle Johnson-mastin, 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 Ph: (269) 815-5500 | Mrs Michelle Johnson-mastin, 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 Ph: (269) 815-5500 |
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