Miss Velisa Marie Johnson, PHD is a
Clinical Neuropsychologist based in Grand Rapids, Michigan. Miss Velisa Marie Johnson is licensed to practice in Michigan (license number 6301016552) and her current practice location is
35 Michigan St Ne Ste 5201, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 267-2830.
NPI number for Miss Velisa Marie Johnson is 1184892952 and her current mailing address is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184892952.
Healthcare Provider's Profile
Full Name | Miss Velisa Marie Johnson |
---|
Gender | Female |
---|
Speciality | Clinical Neuropsychologist |
---|
Location | 35 Michigan St Ne Ste 5201, Grand Rapids, Michigan |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184892952
- Provider Enumeration Date: 02/14/2008
- Last Update Date: 02/17/2021
Medical Identifiers
Medical identifiers for Miss Velisa Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184892952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103G00000X | Clinical Neuropsychologist | 6301016552 (Michigan) | Primary |
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. Miss Velisa Marie Johnson 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 |
Miss Velisa Marie Johnson, PHD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790 | Miss Velisa Marie Johnson, PHD 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2514 Ph: (616) 267-2830 |
Reviews and Comments