Active NPI
Jennifer S Boyce, MA, LLPC
- Clinical Psychologist
- Warren, MI
National Provider Identifier
1245505650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6401009881
- Practice address
- 12220 E 13 Mile Rd
Suite 300
Warren, MI 48093-5000 - Phone
- (586) 573-1810
- Fax
- (586) 573-2121
- NPI assigned
- Mar 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6401009881 | MI | Primary |
Addresses
Primary practice location
12220 E 13 Mile Rd
Suite 300
Warren, MI 48093-5000
Mailing address
12220 E 13 Mile Rd
Suite 300
Warren, MI 48093-5000
Phone (586) 573-1810
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009881 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judson Center, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Royal Oak, MI
- NPI 1033264890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1245505650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12220 E 13 MILE RD",
"address_2": "SUITE 300",
"city": "WARREN",
"state": "MI",
"postal_code": "480935000",
"telephone_number": "586-573-1810",
"fax_number": "586-573-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12220 E 13 MILE RD",
"address_2": "SUITE 300",
"city": "WARREN",
"state": "MI",
"postal_code": "480935000",
"telephone_number": "586-573-1810",
"fax_number": "586-573-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYCE",
"first_name": "JENNIFER",
"middle_name": "S",
"credential": "MA, LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6401009881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.