Individual provider Active NPI

Jeffrey N Andert, PHD

  • Psychologist
  • Battle Creek, MI
National Provider Identifier
1124232608
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301002295 Issued in MI
Practice address
7 Heritage Oak LN Ste 1
Battle Creek, MI 49015-4283
Phone
(269) 968-2811
Fax
(269) 968-2651
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6301002295 MI
Psychologist 103T00000X 6301002295 MI Primary

Addresses

Primary practice location

7 Heritage Oak LN Ste 1
Battle Creek, MI 49015-4283

Mailing address

151 North Ave
Battle Creek, MI 49017-3418
Phone (269) 968-2811

Other practice location 1

5985 W Main St
Kalamazoo, MI 49009-8708
Phone (269) 968-2811

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409001351 MI Practitioner - Clinical Psychologist 5991781213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Consultants of Michigan, P.C.Group PAC ID 7517943830, 2 clinicians

Practice addresses (Care Compare)

6376 Quail Run Dr
Kalamazoo, MI 49009-2811
Phone (269) 968-2811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Consultants of Michigan, P.C. Psychologist CurrentSince Jul 1, 1980 Accepting new patients

Locations

7 Heritage Oak Ln
Ste 1
Battle Creek, MI 49015
Phone (269) 968-2811

151 North Ave
Battle Creek, MI 49017
Phone (269) 968-2811

6376 Quail Run Dr
Kalamazoo, MI 49009
Phone (269) 544-3764

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1124232608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NORTH AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173418",
            "telephone_number": "269-968-2811",
            "fax_number": "269-968-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HERITAGE OAK LN STE 1",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154283",
            "telephone_number": "269-968-2811",
            "fax_number": "269-968-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5985 W Main St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490098708",
            "country_code": "US",
            "telephone_number": "269-968-2811",
            "fax_number": "269-968-2651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERT",
        "first_name": "JEFFREY",
        "middle_name": "N",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301002295",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.