Isabella B. Jenkins, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301063772 Issued in MI

Practice address

8303 Platt Rd
Center for Forensic Psychiatry
Saline, MI 48176-9773

Phone

(734) 295-4315

NPI assigned

Dec 11, 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

Other identifiers 5

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

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Michigan Office of Financial ManagementGroup PAC ID 5496650723, shared by 8 NPIs, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• State of Michigan Office of Financial Management

  • Psychiatric Hospital
  • Westland, MI
  • NPI 1508883299

  MI

  Medicare reassignment NPD
• State of Michigan Office of Financial Management

  • Nursing Facility/Intermediate Care Facility
  • Grand Rapids, MI
  • NPI 1710989298

  MI

  Medicare reassignment NPD
• State of Michigan Office of Financial Management

  • Psychiatric Hospital
  • Saline, MI
  • NPI 1003859380
  NPD
• State of Michigan Office of Financial Management

  • Psychiatric Hospital
  • Caro, MI
  • NPI 1194767996
  NPD
• State of Michigan Office of Financial Management

  • Skilled Nursing Facility
  • Chesterfield, MI
  • NPI 1497342653
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1396805263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 PLATT RD",
            "address_2": "CENTER FOR FORENSIC PSYCHIATRY",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769773",
            "telephone_number": "734-295-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 PLATT RD",
            "address_2": "CENTER FOR FORENSIC PSYCHIATRY",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769773",
            "telephone_number": "734-295-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ISABELLA",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301063772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464682410",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5308877",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "700H262290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "IJ063772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "IJ063772",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Issa, DDS
• Katie Jackson
• Kourtney Marie Jansma, OTR/L
• Elizabeth Hutton Jarratt, PH.D.
• Jean H Lesch DDS PC
• Jennifer F. McFinton DDS PC
• Jensen Professional Ventures PC
• Elisabeth Susan Jilek, NP
• John G. Ghuneim M.D. P.C.
• Erica D Johnson Carder, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.