Active NPI
JD Behavioral Consulting
- Clinical Psychologist
- Livonia, MI
National Provider Identifier
1104697424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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, LBA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Psychologist
- Ypsilanti, MI
- NPI 1174856694
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.