Jamail Psychological Clinic PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301009004 Issued in MI

Legal business name

JAMAIL PSYCHOLOGICAL CLINIC PC

Practice address

1114 Beach St
Flint, MI 48502-1407

Phone

(810) 767-4114

Fax

(810) 767-4429

NPI assigned

Jul 12, 2006

Last updated

Mar 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne Jamail, PHDNPI 1740296664

Title

Owner

Phone

(810) 767-4114

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne Jamail, PHD

  • Psychologist
  • Flint, MI
  • NPI 1740296664
  NPD (past) Authorized official
• Deanna Grifka, PA-C

  • Physician Assistant
  • Warren, MI
  • NPI 1689611402
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1043245533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BEACH ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021407",
            "telephone_number": "810-767-4114",
            "fax_number": "810-767-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BEACH ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021407",
            "telephone_number": "810-767-4114",
            "fax_number": "810-767-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAIL PSYCHOLOGICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "JAMAIL",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-767-4114",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "680B545430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franz M. Jaggi, D.O.
• Mark Steven Jagos, L.M.S.W.
• Neha Jain, MD
• Sarah Jajey, PRC, RAC
• Kelly Jaksa
• Suzanne Jamail, PHD
• Jamal D Farhan, M.D., P.C.
• Ayesha Marium Jamal, MD
• James Brown MD PLC
• James C. Culver, M.D., P.C. (Pain Management Center of Flint)

• Psychologist in Flint, MI
• Providers in Flint, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.