Jennifer Vanbeck, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016305 Issued in MI

Practice address

101 W Liberty St Apt 360
Ann Arbor, MI 48104-1365

Phone

(734) 355-1701

NPI assigned

Dec 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jennifer Kirsch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Jennifer Vanbeck PSYD

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1306653324
  NPD Authorized official
• Freedom Counseling Center Inc

  • Counseling Psychologist
  • Saint Joseph, MI
  • NPI 1083838361
  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1083982425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W LIBERTY ST APT 360",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041365",
            "telephone_number": "734-355-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W LIBERTY ST APT 360",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041365",
            "telephone_number": "734-355-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBECK",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019395",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KIRSCH",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaela Van Til
• Ly Julie Van, D.D.S.
• Xayla Van
• Elizabeth Vanallen, RN
• Jamie Lynn Vanartsdalen, MD
• Peter John Vanbeck, D.D.S.
• Danielle Rose Vanbeckum, MD
• Kathleen Vanbonn
• Jennifer Lynn Vance, MD
• Kaitlin Mary Vance, NP

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.