Jeffrey M Last PHD PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6301003183 Issued in MI

Legal business name

JEFFREY M LAST PHD PLLC

Practice address

20300 Civic Center Dr
Suite 303
Southfield, MI 48076-4105

Phone

(248) 559-5774

Fax

(248) 559-8776

NPI assigned

Feb 3, 2011

Last updated

May 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Michael Last, PH.D.NPI 1669585881

Title

Owner

Phone

(248) 559-5774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Michael Last, PH.D.

  • Psychologist
  • Southfield, MI
  • NPI 1669585881
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1336445675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20300 CIVIC CENTER DR",
            "address_2": "SUITE 303",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764105",
            "telephone_number": "248-559-5774",
            "fax_number": "248-559-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 CIVIC CENTER DR",
            "address_2": "SUITE 303",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764105",
            "telephone_number": "248-559-5774",
            "fax_number": "248-559-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M LAST PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "LAST",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-559-5774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6301003183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Jeberaeel
• Jeci Medical Supply Inc.
• Beata Jedrzejczyk, LLMSW
• Jeevaka Yapa DDS PC (New Center Oral & Maxillofacial Surgery)
• Tomyia M Jefferson
• Jeffrey T Najor MD PLLC
• Tamika Jeffries
• Sudhakaran Jegadeesh, PT, MBA
• Ayne A Jeilani, BEHAVIORAL TECHNICIA
• Lakeithia Jenkins

• Mental Health Clinic/Center (Including Community Mental Health Center) in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.