John B Ridgeway,llc
NPI 1861412371ActiveOrganization· Psychologist, Clinical· Flint, MI
Psychologist, Clinical in Flint, Michigan, registered in NPPES in July 2006. The authorized official on file is John Burns Ridgeway, MA,LLP,LSW,CAC-1,SAP, Sole Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861412371 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2006 |
| Last updated in NPPES | Nov 6, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301003780 | MI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 101948. CAC-1 | MI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | SAP | MI |
| Social Worker, Clinical | 1041C0700X | 6801013086 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other Psychologist, Clinical providers in Flint
- 1437260072
- 1467678789
- 1750714275
- 1164792941
- 1376689968
- 1134252075
- 1750721411
- 1952706186
- 1396693610
- 1386031680
- 1972255016
- 1871522888