Organization Active NPI

J Scott Allen Jr PHD LLC

  • Clinical Psychologist
  • Clarkston, MI
National Provider Identifier
1437415965
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
JA007894 Issued in MI
Legal business name
J SCOTT ALLEN JR PHD LLC
Practice address
5419 Tamarack Park LN
Clarkston, MI 48346-3544
Phone
(248) 321-7890
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Joseph Scott Allen Jr., PH.D.
Title
Agent/Owner
Phone
(248) 321-7890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X JA007894 MI Primary

Addresses

Primary practice location

5419 Tamarack Park LN
Clarkston, MI 48346-3544

Mailing address

5419 Tamarack Park LN
Clarkston, MI 48346-3544
Phone (248) 321-7890

National Provider Directory

National Provider Directory

Locations

26111 W 14 Mile Rd
#201C
Franklin, MI 48025
Phone (248) 626-7008

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": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1437415965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 TAMARACK PARK LN",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463544",
            "telephone_number": "248-321-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 TAMARACK PARK LN",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463544",
            "telephone_number": "248-321-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J SCOTT ALLEN JR PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "AGENT/OWNER",
        "authorized_official_telephone_number": "248-321-7890",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "JA007894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.