Jeanette Niemisto, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301080094 Issued in MI

Practice address

8512 N Canton Center Rd
Canton, MI 48187-1310

Phone

(734) 459-1760

Fax

(734) 459-1797

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Wayne State University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Healing and Happiness PC

  • Psychiatry Physician
  • Canton, MI
  • NPI 1003137795
  Medicare reassignment NPD Authorized official
• Eden Counseling, LLC

  • Clinical Social Worker
  • Plymouth, MI
  • NPI 1396031084
  NPD (past)
• Victor M. Cruz MD, P.C.

  • Psychiatry Physician
  • Livonia, MI
  • NPI 1023036514
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1366463713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-459-1760",
            "fax_number": "734-459-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-459-1760",
            "fax_number": "734-459-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMISTO",
        "first_name": "JEANETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301080094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reeda Niazi, PHARMD
• Jyothi R. Nichanametla, M.D.
• Stana Nickolich, MD
• Nicole D Teifer DDS PLLC
• Ashley Elizabeth Niemi, DPT
• Michele Nieset, OT
• Zahin Nilu
• Brandon Nims, PT
• Kassi Dokey Nine, OTR
• Mary Nixon, MD

• Psychiatry Physician in Canton, MI
• Providers in Canton, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.