JEANINE LYNN CAMPBELL JOHNSON TLLP
NPI 1922822469
Psychologist - Clinical in Detroit, MI

Q: What is Jeanine Johnson's NPI number?

The NPI number for Jeanine Johnson is 1922822469. It was assigned to this individual provider in the NPPES registry on November 12, 2024.

Q: What is Jeanine Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jeanine Johnson was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since November 12, 2024

5229 CASS AVE, DETROIT, MI 48202(313) 577-2840 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jeanine Lynn Campbell Johnson Tllp NPPES

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

JEANINE LYNN CAMPBELL JOHNSON TLLP (NPI 1922822469) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6352000958) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1922822469

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJEANINE LYNN CAMPBELL JOHNSONCredential: TLLP

Location Address5229 CASS AVEDetroit, MI 48202-3930

Mailing Address1092 Beaconsfield Ave Apt 2sGrosse Pointe Park, MI 48230-2014 · (425) 894-6978

Phone(313) 577-2840

Sole ProprietorNo

Enumeration DateNovember 12, 2024

NPPES CertifiedNovember 12, 2024

✔ NPI 1922822469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6352000958

Definition

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.

5229 CASS AVE, Detroit, MI 48202

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Other Providers at the Same Location NPPES

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

JASMINE COSBY

Psychologist (Clinical Child & Adolescent)

5229 CASS AVE
DETROIT, MI 48202

Wayne County (313) 577-2840

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 Jeanine Johnson's NPI number?

The NPI number for Jeanine Johnson is 1922822469. It was assigned to this individual provider in the NPPES registry on November 12, 2024.

Where is Jeanine Johnson located?

Jeanine Johnson practices at 5229 Cass Ave, Detroit, MI 48202. The listed phone number is (313) 577-2840.

What is Jeanine Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jeanine Johnson was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.