Jana Lee Penrod, PSYCHOLOGIST

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L2053661 Issued in MI

Practice address

623 N Broad St
Adrian, MI 49221-2131

Phone

(517) 264-1313

Fax

(517) 266-0553

NPI assigned

Mar 26, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Darn Good Parenting

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1871486456
  Medicare reassignment NPD Authorized official
• Behavior Educators Inc

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1134301005
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1003158296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212131",
            "telephone_number": "517-264-1313",
            "fax_number": "517-266-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212131",
            "telephone_number": "517-264-1313",
            "fax_number": "517-266-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENROD",
        "first_name": "JANA",
        "middle_name": "LEE",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "L2053661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Byrnesmdpc
• Bradley Steven Paulsen II, MA LLP
• Sandra Taylor Paulsen, MA, LLP
• Megan Pawson, BCBA
• Peace of Mind Senior Services, Inc.
• Andres Fernando Perez Cazares
• Alicia Perez
• Kelsie Irene Perez, MSW
• Marcus Perez, DC
• Summer Marie Perez, DC

• Behavior Analyst in Adrian, MI
• Providers in Adrian, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.