Individual provider Active NPI

Jennifer Hahm, PHD

  • Counseling Psychologist
  • Novi, MI
National Provider Identifier
1386098879
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301018343 Issued in MI
Practice address
28175 Haggerty Road
Novi, MI 48377
Phone
(248) 939-8150
Fax
(248) 939-8190
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301015301 MI
Counseling Psychologist 103TC1900X 6301018343 MI Primary

Addresses

Primary practice location

28175 Haggerty Road
Novi, MI 48377

Mailing address

28175 Haggerty Road
Novi, MI 48377
Phone (248) 939-8150

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301015301MIMDPsychologist
6301018343MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychological Service, PLLC CurrentSince Dec 9, 2019 Accepting new patients
Jennifer Hahm PHD Psychological Services PLLC Current Accepting new patients

Locations

2720 E Lansing Dr
East Lansing, MI 48823
Phone (517) 337-2900

33228 W 12 Mile Rd
Farmington Hills, MI 48334
Phone (313) 443-0946

28175 Haggerty Rd
Novi, MI 48377
Phone (248) 994-7759

Organizations & group practices 2

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1386098879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28175 HAGGERTY ROAD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-939-8150",
            "fax_number": "248-939-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28175 HAGGERTY ROAD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-939-8150",
            "fax_number": "248-939-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHM",
        "first_name": "JENNIFER",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015301",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301018343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.