Individual provider Active NPI

Emily Elizabeth Tarjeft

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1306229315
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361003885 Issued in MI
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

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
6301018313MIMDPsychologist
6361003885MIMDPsychologist
6301017447MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.