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JOHN B RIDGEWAYLLC NPI 1861412371


NPI Information

NPI: 1861412371
Provider Name: JOHN B RIDGEWAY,LLC

Doing Business As: STILL POINT COUNSELING CENTER

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
G-4511 MILLER ROAD, 2ND FLOOR
FLINT, MI
ZIP 48507
Phone: (810) 720-0640
Get Directions

JOHN B RIDGEWAY,LLC is a clinical psychologist in Flint, MI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. JOHN B RIDGEWAY,LLC NPI is 1861412371. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Still Point Counseling Center.

The provider's business location address is:

G-4511 MILLER ROAD, 2ND FLOOR
FLINT, MI
ZIP 48507
Phone: (810) 720-0640
Fax: (810) 720-0640

The provider's authorized official is John Burns Ridgeway .
The authorized official title is Sole Owner and has the following contact phone number (810) 720-0640.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)101948. CAC-1MICHIGANNo
2101YA0400XCounselorAddiction (Substance Use Disorder)SAPMICHIGANNo
31041C0700XSocial WorkerClinical6801013086MICHIGANNo
4103TC0700XPsychologistClinical6301003780MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10P04330MEDICARE ID-TYPE UNSPECIFIEDMICHIGANSOLE PROPRIETER
2P2981001MEDICARE ID-TYPE UNSPECIFIEDMICHIGANLLC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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