Active NPI
Emily Elizabeth Tarjeft
- Psychologist
- Farmington Hills, MI
National Provider Identifier
1306229315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361003885
- Practice address
- 30301 Northwestern Hwy Ste 100
Farmington Hills, MI 48334-3277 - Phone
- (248) 554-6358
- NPI assigned
- Jul 8, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301018313 | MI | |
| Clinical Psychologist | 103TC0700X | 6301017447 | MI | |
| Other Specialist/Technologist | 246Z00000X | |||
| Psychologist | 103T00000X | 6361003885 | MI | Primary |
Addresses
Primary practice location
30301 Northwestern Hwy Ste 100
Farmington Hills, MI 48334-3277
Mailing address
12378 Volpe Dr
Sterling Heights, MI 48312-5328
Phone (734) 925-1504
Other practice location 1
13300 Village Park Dr
Apt 1081
Southgate, MI 48195-2759
Phone (734) 925-1504
Other practice location 2
12200 E 13 Mile Rd
Warren, MI 48093-3093
Phone (586) 573-1810
Other names 1
- Emily Elizabeth Meissner
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301018313 | MI | MD | Psychologist |
| 6361003885 | MI | MD | Psychologist |
| 6301017447 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growth & Wellness PLLC | Current | Accepting new patients | |
| Judson Center, Inc. | Past | Accepting new patients | |
| Judson Center, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton TWP, MI
- NPI 1699633842
-
- Community/Behavioral Health Agency
- Royal Oak, MI
- NPI 1033264890
-
dba Judson Center Family Health Clinic
- Family Medicine Physician
- Warren, MI
- NPI 1396217600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1306229315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12378 VOLPE DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483125328",
"telephone_number": "734-925-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30301 NORTHWESTERN HWY STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343277",
"telephone_number": "248-554-6358"
}
],
"practiceLocations": [
{
"address_1": "13300 Village Park Dr",
"address_2": "Apt 1081",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "MI",
"postal_code": "481952759",
"country_code": "US",
"telephone_number": "734-925-1504",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12200 E 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480933093",
"country_code": "US",
"telephone_number": "586-573-1810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARJEFT",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301018313",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301017447",
"primary": false
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361003885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "MEISSNER",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.