MR. ANDREW JOHNSON III RN
NPI 1578986873
Registered Nurse - Psychiatric/Mental Health, Adult in Detroit, MI

Active since January 23, 2014
2900 CONNER ST, DETROIT, MI 48215(313) 308-1408(313) 824-5590 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Andrew Johnson Iii Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDREW JOHNSON III RN (NPI 1578986873) is an individual psychiatric/mental health, adult provider in Detroit, Michigan, licensed in Michigan (4704193600) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1578986873
Entity TypeIndividualMale
Primary Taxonomy163WP0809X
Provider Legal NameMR. ANDREW JOHNSON IIICredential: RN
Location Address2900 CONNER STDetroit, MI 48215-2407
Mailing Address24240 Mulberry DrSouthfield, MI 48033-3117 · (313) 623-3069
Fax(313) 824-5590
Sole ProprietorYes
Enumeration DateJanuary 23, 2014
NPI 1578986873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License Licensed in MI · 4704193600
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 4704193600 (MI)
2900 CONNER ST, Detroit, MI 48215

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2900 CONNER ST
DETROIT, MI 48215
Technician, Other
2900 CONNER ST, BUILDING A
DETROIT, MI 48215
Case Management
2900 CONNER ST
DETROIT, MI 48215
Registered Nurse
2900 CONNER ST
DETROIT, MI 48215
Social Worker
2900 CONNER ST
DETROIT, MI 48215
Social Worker
2900 CONNER ST
DETROIT, MI 48215
Social Worker (Clinical)
2900 CONNER ST
DETROIT, MI 48215
Social Worker (Clinical)
2900 CONNER ST
DETROIT, MI 48215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Johnson's NPI number?

The NPI number for Andrew Johnson is 1578986873. It was assigned to this individual provider in the NPPES registry on January 23, 2014.

Where is Andrew Johnson located?

Andrew Johnson practices at 2900 Conner St, Detroit, MI 48215. The listed phone number is (313) 308-1408.

What is Andrew Johnson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for Andrew Johnson was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.