Jean Gust, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301009874 Issued in MI

Practice address

650 Griswold St
Northville, MI 48167-1666

Phone

(248) 470-3346

Fax

(248) 912-0208

NPI assigned

Jun 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Michael S Finn PC

  • Clinical Psychologist
  • Novi, MI
  • NPI 1174609945
  NPD (past)
• Robert Garcia MD PC

  dba The Psychiatry & Psychology Center

  • Psychiatry Physician
  • Northville, MI
  • NPI 1760659312
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1033158514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 GRISWOLD ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671666",
            "telephone_number": "248-470-3346",
            "fax_number": "248-912-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GRISWOLD ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671666",
            "telephone_number": "248-470-3346",
            "fax_number": "248-912-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUST",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "680F332900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tannaz Guivatchian, MD
• Krutika Gulvadi, PHARM.D.
• Pamela A Gumkowski, RD
• Miti Gupta
• Veena H Gurbani, DPT
• Arika Gustafson
• Samantha Ashlee Guyah, MSW
• Mary Haddad
• Jessie A Hadley
• Jeremy William Hagadorn, DPT

• Clinical Psychologist in Northville, MI
• Providers in Northville, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.