Individual
GEORGE 'BRICK' RETER JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004549
GA
103TC0700X
Clinical Psychologist
PYR0266
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131610
HEALTHLINK
MO
01
—
13644
BLUE SHIELD/BLUE CHOICE
MO
05
—
493401103
—
MO
01
—
6145989
UNITED HEALTHCARE
MO
01
—
680002939
RR MEDICARE
MO
Enumeration date
05/18/2006
Last updated
02/03/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up