Crescent Roots Psychological Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CRESCENT ROOTS PSYCHOLOGICAL SERVICES, PLLC

Practice address

28175 Haggerty Rd
Novi, MI 48377-2903

Phone

(630) 313-2575

NPI assigned

Feb 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jason Beers, PSYDNPI 1508235235

Title

Licensed Psychologist

Phone

(630) 313-2575

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Jason Beers, PSY.D.

  • Psychologist
  • Novi, MI
  • NPI 1508235235
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa C Glasson

  • Clinical Social Worker
  • Richmond, MI
  • NPI 1881292316
  Medicare reassignment Care Compare group NPD
• Wendy Sue Svatora, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1871749705
  Medicare reassignment NPD

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1164988481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28175 HAGGERTY RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772903",
            "telephone_number": "630-313-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28175 HAGGERTY RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772903",
            "telephone_number": "630-313-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT ROOTS PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "BEERS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-313-2575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance J. Creech, EDD, APRN, BC, ANP
• Amanda Creel
• Kelly Creel
• Shachetra Cremeans
• Skylar Crenshaw
• Dulce Crespo
• Megann Cretsinger
• Corey Crew
• Jordan Crichton
• Angela Crockett

• Psychologist in Novi, MI
• Providers in Novi, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.