Jessica L Van Huysse, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016026 Issued in MI

Practice address

1500 E Medical Center Drive
Room L5020
Ann Arbor, MI 48109-5277

Phone

(734) 763-5444

NPI assigned

Aug 5, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1396154258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DRIVE",
            "address_2": "ROOM L5020",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095277",
            "telephone_number": "734-763-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HUYSSE",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Van Der Velde, MD
• Hannah Rose Van Galder, MD
• Bethany Weaver Van Helden, MS, RD
• Alanna Battersby Van Hooser, M.D.
• Julie Elizabeth Van Hove, RN
• Barbara Rose Van Kainen, CNM
• Sylvia Van Meerten, LLPC
• Camille Cassiopeia Van Neste, MD
• Jenifer Van Orden, REPT, CNIM
• Andrew James Van Pay

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.