Individual provider Active NPI

Jonathan Paul Beard, PHD

  • Clinical Psychologist
  • Royal Oak, MI
National Provider Identifier
1417998972
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012051 Issued in MI
Practice address
221 S Main St
Ste 100
Royal Oak, MI 48067-2611
Phone
(248) 545-9200
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301012051 MI Primary

Addresses

Primary practice location

221 S Main St
Ste 100
Royal Oak, MI 48067-2611

Mailing address

922 Midland Blvd
Royal Oak, MI 48073-2886
Phone (248) 588-9058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000265 MI Practitioner - Clinical Psychologist 6002859220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.05 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
83.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301012051MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Feb 9, 2013 Accepting new patients
County of Macomb CurrentSince Feb 9, 2013 Accepting new patients
Seniors Wellness Group of Michigan, P.C. Clinical Past Accepting new patients
Geriatric Psychiatric Services PLLC Clinical Past Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

5340 Holiday Ter
Ste 9
Kalamazoo, MI 49009
Phone (269) 381-4446

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

6555 15 Mile Rd
Sterling Hts, MI 48312
Phone (586) 469-7792

Organizations & group practices 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417998972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 MIDLAND BLVD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732886",
            "telephone_number": "248-588-9058",
            "fax_number": "248-588-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST",
            "address_2": "STE 100",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672611",
            "telephone_number": "248-545-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.