Personalized Hearing Care

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

PERSONALIZED HEARING CARE

Practice address

321 Pettibone St
Suite 105
South Lyon, MI 48178-6000

Phone

(248) 437-5505

Fax

(248) 437-5518

NPI assigned

Mar 4, 2013

Organization subpart

No

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

Authorized official

Name

Karissa Jagacki, AUDNPI 1164528246

Title

Owner

Phone

(734) 467-5100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karissa L. Jagacki, AU.D.,CCC-A

  • Audiologist-Hearing Aid Fitter
  • Westland, MI
  • NPI 1164528246
  NPD Authorized official

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1447591284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35337 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852013",
            "telephone_number": "734-467-5100",
            "fax_number": "734-467-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 PETTIBONE ST",
            "address_2": "SUITE 105",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481786000",
            "telephone_number": "248-437-5505",
            "fax_number": "248-437-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HEARING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "JAGACKI",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-467-5100",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0H10426",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4433772",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Edward Pawloski, PT, DPT
• Jamie J Penn, D.C.
• Jessica Pepper, DPT
• Performance Psychology
• Diane Lynn Perry, ACSM-CEP
• Reggie Philip
• Margaret C Pierce, MS, CCC-SLP
• Diane Marie Pitak, DDS
• Plymouth Physical Therapy Specialists Limited Partnership
• Marsha Polsinelli, MS, RD

• Audiologist-Hearing Aid Fitter in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.