Jessica Lauren Dluzynski, TLLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301015298 Issued in MI

Practice address

6195 Miller Rd Ste a
Swartz Creek, MI 48473

Phone

(810) 630-1152

Fax

(810) 630-9107

NPI assigned

Oct 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Michigan Neurology Associates PCGroup PAC ID 8628987468, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michiganneurologyassociates.jessicadluzynski@158246.advancedmd-direct.com

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.

• Michigan Neurology Associates PC

  • Neurology Physician
  • St Clair Shores, MI
  • NPI 1861498362

  MI

  Medicare reassignment Care Compare group NPD
• Michigan Neurology Associates, P.C.

  • Ambulatory Surgical Clinic/Center
  • Clinton TWP, MI
  • NPI 1518247295
  NPD
• Delta Family Clinic South P.C

  • Adult Mental Health Clinic/Center
  • Flint, MI
  • NPI 1255509832
  NPD (past)
• Delta Family Clinic South PC

  • Clinical Psychologist
  • Bay City, MI
  • NPI 1902162746
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1295089373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6195 MILLER RD STE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "48473",
            "telephone_number": "810-630-1152",
            "fax_number": "810-630-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6195 MILLER RD STE A",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "48473",
            "telephone_number": "810-630-1152",
            "fax_number": "810-630-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DLUZYNSKI",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergii Deich, DNP
• Jenny Sue Dennings, R.D.H.
• Amanda Grace Dietrich
• Ashley Marie Dimon
• Emily Dinardo, BS
• Teresa Leona Dougherty, R.N.
• Alexis L Downey
• David Dreyer, LLP
• Lindsay Kay Duckworth
• Kristina Janine Earl, REGISTERED NURSE

• Psychologist in Swartz Creek, MI
• Providers in Swartz Creek, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.