Individual provider Active NPI

Joan Allison Curtis, PH.D.

  • Clinical Psychologist
  • Clarkston, MI
National Provider Identifier
1043376114
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008818 Issued in MI
Practice address
5639 Sashabaw Rd
Clarkston, MI 48346-3149
Phone
(248) 922-9077
NPI assigned
Dec 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301008818 MI Primary

Addresses

Primary practice location

5639 Sashabaw Rd
Clarkston, MI 48346-3149

Mailing address

5639 Sashabaw Rd
Clarkston, MI 48346-3149
Phone (248) 922-9077

Other identifiers 1

IdentifierTypeStateIssuer
11274321OtherMICAQH

Other names 1

  • J Allison Curtis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000352 MI Practitioner - Clinical Psychologist 6800954843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarkston Family Therapists LLCGroup PAC ID 8820240047, 4 clinicians

Practice addresses (Care Compare)

5639 Sashabaw Rd
Clarkston, MI 48346-3149
Phone (248) 922-9077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301008818MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkston Family Therapists LLC Clinical CurrentSince Jan 28, 2013 Accepting new patients

Locations

5639 Sashabaw Rd
Clarkston, MI 48346
Phone (248) 625-6677

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1043376114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463149",
            "telephone_number": "248-922-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5639 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463149",
            "telephone_number": "248-922-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "JOAN",
        "middle_name": "ALLISON",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11274321",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "CURTIS",
            "middle_name": "ALLISON",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.