Individual provider Active NPI

Jeffery Joseph Lusko, MA, LLP

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1245480961
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361005144 Issued in MI
Practice address
27655 Middlebelt Rd
Farmington Hills, MI 48334-5029
Phone
(313) 506-2272
NPI assigned
Sep 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361005144 MI Primary
Psychologist 103T00000X 6301008576 MI

Addresses

Primary practice location

27655 Middlebelt Rd
Farmington Hills, MI 48334-5029

Mailing address

30220 Southfield Rd Apt 144
Southfield, MI 48076-1315
Phone (313) 506-2272

Other practice location 1

24901 Northwestern Highway
Ste 500
Southfield, MI 48075
Phone (248) 365-8425

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301008576MIMDPsychologist
6361005144MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orchards Children's Services, Inc. Clinical CurrentSince Apr 20, 2021 Accepting new patients
Orchards Children's Services, Inc CurrentSince Apr 20, 2021 Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Locations

24901 Northwestern Hwy
Ste 500
Southfield, MI 48075
Phone (248) 258-0440

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1245480961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30220 SOUTHFIELD RD APT 144",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761315",
            "telephone_number": "313-506-2272",
            "fax_number": "248-258-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27655 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345029",
            "telephone_number": "313-506-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24901 Northwestern Highway",
            "address_2": "Ste 500",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "48075",
            "country_code": "US",
            "telephone_number": "248-365-8425",
            "fax_number": "248-258-0458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSKO",
        "first_name": "JEFFERY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361005144",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.