Organization Active NPI

Suzanne R Jamail PH D

  • Clinical Psychologist
  • Flint, MI
National Provider Identifier
1386031680
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009004 Issued in MI
Legal business name
SUZANNE R JAMAIL PH D
Practice address
5524 S Saginaw Rd
Flint, MI 48507-4421
Phone
(519) 562-3384
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Suzanne R Jamail, PH DNPI 1740296664
Title
Owner
Phone
(519) 562-3384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301009004 MI Primary

Addresses

Primary practice location

5524 S Saginaw Rd
Flint, MI 48507-4421

Mailing address

5524 S Saginaw Rd
Flint, MI 48507-4421
Phone (519) 562-3384

National Provider Directory

National Provider Directory

Locations

5524 S Saginaw Rd
Grand Blanc, MI 48507
Phone (519) 562-3384

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1386031680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 S SAGINAW RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074421",
            "telephone_number": "519-562-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 S SAGINAW RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074421",
            "telephone_number": "519-562-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE R JAMAIL PH D",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "JAMAIL",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "519-562-3384",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.