Joseph Scott Allen Jr., PHD
Individual provider Active NPI Clinical Psychologist · Clarkston, MI
NPI 1376524835 · NPPES record last updated Sep 10, 2018
Key facts
- NPI
- 1376524835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- JA007894 (MI)
- Practice address
- 7736 Ortonville Rd Ste a
Clarkston, MI 48348-4483 - Phone
- (248) 321-7890
- Fax
- (248) 321-7890
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5419 Tamarack Park LN
Clarkston, MI 48346-3544
Phone (248) 321-7890
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101025000845 | MI | Practitioner - Clinical Psychologist | 0648463497 | Practice locations: Clarkston, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JA007894 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Scott Allen MD, P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | JA007894 | MI | Yes |
Addresses
Primary practice location
7736 Ortonville Rd Ste a
Clarkston, MI 48348-4483
Mailing address
5419 Tamarack Park LN
Clarkston, MI 48346-3544
Phone (248) 321-7890
Other practice location 1
26111 W 14 Mile Rd Ste 201-C
Franklin, MI 48025-1168
Phone (248) 321-7890
Other practice location 2
5419 Tamarack Park Ln
Clarkston, MI 48346-3544
Phone (248) 321-7890
Other names
- Dr. J. Scott Allen Jr.
Other providers in Clarkston, MI
- Robert Spencer Albee
- Kathryn Jayne Alexander
- Cheryl R Alfaro
- Janet Allard
- Michael Joseph Allard
- Novalei Allen
- Alliance Physician Services of Michigan, P.C.
- Allison Dougherty, Ma, LPC, PLLC
- Allison Eye Care Inc
- Sandra Aloia
All providers in Clarkston, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.