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Deactivated NPI 1437761632 Deactivated / Inactive NPI Male Practitioner

Devyn Johnston , TLLP

Psychologist - Clinical • Rochester, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Devyn Johnston has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2020
NPI Deactivation Date January 04, 2023
Total Practice Duration ~3 Years of Practice (2020 – 2023)

Professional Overview & Biography Verified Profile Summary

Devyn Johnston, TLLP was a registered Psychologist - Clinical practicing in Rochester, MI. Throughout an active medical career spanning 3 years, Devyn Johnston provided care at the practice location at 1135 WALTON BLVD until profile deactivation on 2023-01-04.

Practice Location & Contact Primary Location

Practice Address

1135 Walton Blvd
Suite 445

Rochester, MI 48307

Telephone 2484135027

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Rochester, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Rochester, MI (3104 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-09
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License MI 6362009598

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Antonino Agosta , PsyD

Psychologist - Clinical

NPI 1396913497

Doctor of Psychology (Psy.D.)

Nickolas Mandziara , TLLP

Psychologist - Clinical

NPI 1407705973

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
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Updated Practice Location March 13, 2023

Registered at 1135 WALTON BLVD, SUITE 445, ROCHESTER, MI 48307 (Tel: 2484135027)

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Updated Business Mailing Address March 13, 2023

Registered at 1135 WALTON BLVD, SUITE 445, ROCHESTER, MI 48307 (Tel: 2484135027)

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Provider Name / Credentials Updated March 13, 2023

Recorded as DEVYN JOHNSTON, TLLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Psychologist (License #6362009598 in MI)

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Updated Practice Location January 25, 2023

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326 (Tel: 2482990030)

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Updated Business Mailing Address January 25, 2023

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326

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Provider Name / Credentials Updated January 25, 2023

Recorded as DEVYN JOHNSTON

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2023

Behavior Technician

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NPI Profile Deactivated January 04, 2023

Record deactivated on January 04, 2023

NPI Profile Active August 19, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 19, 2020

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326 (Tel: 2482990030)

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Updated Business Mailing Address August 19, 2020

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326

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Provider Name / Credentials Updated August 19, 2020

Recorded as DEVYN JOHNSTON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2020

Behavior Technician

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Initial NPI Registration & Enumeration August 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437761632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2020
Last Update: March 13, 2023
Deactivation Date: January 04, 2023
Sole Proprietor: No

Mailing Address

1135 Walton Blvd, Suite 445

Rochester, MI 48307

Phone: 2484135027

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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