Individual provider Active NPI

Jennifer Lynn Buswinka, T.L.L.P.

  • Psychologist
  • Northville, MI
National Provider Identifier
1316403744
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301016192 Issued in MI
Practice address
18600 Northville Rd Ste 400B
Northville, MI 48168-3544
Phone
(734) 890-4057
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301016192 MI Primary

Addresses

Primary practice location

18600 Northville Rd Ste 400B
Northville, MI 48168-3544

Mailing address

31811 W Chicago St
Livonia, MI 48150-2831
Phone (734) 890-4057

Other practice location 1

31811 W Chicago St
Livonia, MI 48150-2831
Phone (734) 890-4057

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
6301016192MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northville Psychological Services Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1316403744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31811 W CHICAGO ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502831",
            "telephone_number": "734-890-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 NORTHVILLE RD STE 400B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683544",
            "telephone_number": "734-890-4057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31811 W Chicago St",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481502831",
            "country_code": "US",
            "telephone_number": "734-890-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSWINKA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "T.L.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.