Individual provider Active NPI

Jennifer J Porcaro, PH.D.

  • School Psychologist
  • Dexter, MI
National Provider Identifier
1164332805
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP0000000768972 Issued in MI
Practice address
7480 Dan Hoey Rd BLDG B
Dexter, MI 48130-9836
Phone
(734) 424-4130
Fax
(734) 424-4139
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SP0000000768972 MI Primary

Addresses

Primary practice location

7480 Dan Hoey Rd BLDG B
Dexter, MI 48130-9836

Mailing address

7480 Dan Hoey Rd BLDG B
Dexter, MI 48130-9836
Phone (734) 424-4130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1164332805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 DAN HOEY RD BLDG B",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309836",
            "telephone_number": "734-424-4130",
            "fax_number": "734-424-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 DAN HOEY RD BLDG B",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309836",
            "telephone_number": "734-424-4130",
            "fax_number": "734-424-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCARO",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MI",
            "license": "SP0000000768972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.