Active NPI
Jennifer Marie Rizk, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704304766
- Practice address
- 3519 Dudley St
Dearborn, MI 48124-3639 - Phone
- (313) 333-7033
- Fax
- (415) 960-1323
- NPI assigned
- Sep 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704304766 | MI | Primary |
Addresses
Primary practice location
3519 Dudley St
Dearborn, MI 48124-3639
Mailing address
3519 Dudley St
Dearborn, MI 48124-3639
Phone (313) 400-7661
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Wayne State University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
39500 W 10 Mile Rd
Suite 108
Novi, MI 48375-2947
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704304766 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Psychiatry of Michigan PLLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
400 Renaissance Ctr
Detroit, MI 48243
Phone (248) 599-1582
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
39500 W 10 Mile Rd
Ste 108
Novi, MI 48375
Phone (248) 888-6800
524 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 264-4920
7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347
34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640
375 Eureka Rd
Ste B
Wyandotte, MI 48192
Phone (734) 225-9300
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Interoperability endpoints
- purepsychiatrymi.jenniferrizk@153418.advancedmd-direct.com
Organizations & group practices 4
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.
-
- Physician Assistant
- Wayne, MI
- NPI 1831701671
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
MI, Psychiatric/Mental Health
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1073330189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3519 DUDLEY ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243639",
"telephone_number": "313-400-7661",
"fax_number": "415-960-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 DUDLEY ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243639",
"telephone_number": "313-333-7033",
"fax_number": "415-960-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZK",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-21",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704304766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.