Jessica Swanson, TLLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301017249 Issued in MI

Practice address

705 S Main St Ste 280
Plymouth, MI 48170-1060

Phone

(734) 454-1094

NPI assigned

May 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053723098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 DUFFIELD ST",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483831713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST STE 280",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701060",
            "telephone_number": "734-454-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3285 Duffield St",
            "address_purpose": "LOCATION",
            "city": "White Lake",
            "state": "MI",
            "postal_code": "483831713",
            "country_code": "US",
            "telephone_number": "248-229-9017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JESSICA",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Swagel
• Amanjot Kaur Swaich, NP
• Dima Swaidan, PSYD, LP
• David Swain, DC
• Kiryn Swain
• Courtney Swee
• Daisy Sykes, OTR
• Jenna Syverson
• Melissa Szcygiel
• Stanley John Szczotka, PH.D, MA. LLP. LPC,

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.