Organization Active NPI

JD Behavioral Consulting

  • Clinical Psychologist
  • Livonia, MI
National Provider Identifier
1104697424
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JD BEHAVIORAL CONSULTING
Practice address
17290 Farmington Rd
Livonia, MI 48152-3151
Phone
(248) 403-0893
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Mrs. Jennifer Dangela, MS, LLP, BCBA, LBANPI 1174856694
Title
Clinician/Owner
Phone
(248) 403-0893

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

17290 Farmington Rd
Livonia, MI 48152-3151

Mailing address

48848 Running Trout LN
Northville, MI 48168-6841
Phone (248) 403-0893

Other practice location 1

48848 Running Trout Ln
Northville, MI 48168-6841
Phone (248) 403-0893

National Provider Directory

National Provider Directory

Locations

17290 Farmington Rd
Livonia, MI 48152
Phone (248) 403-0893

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1104697424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48848 RUNNING TROUT LN",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686841",
            "telephone_number": "248-403-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17290 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523151",
            "telephone_number": "248-403-0893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48848 Running Trout Ln",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481686841",
            "country_code": "US",
            "telephone_number": "248-403-0893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JD BEHAVIORAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "DANGELA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "248-403-0893",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LLP, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.