Active NPI
Michelle Marie Jeffers, MS LLP
- Psychologist
- Redford, MI
National Provider Identifier
1477563435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301011037
- Practice address
- 9315 Telegraph
Redford, MI 48239 - Phone
- (313) 450-4500
- Fax
- (313) 450-4514
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301011037 | MI | Primary |
Addresses
Primary practice location
9315 Telegraph
Redford, MI 48239
Mailing address
1609 W 12 Mile Rd
Royal Oak, MI 48073
Phone (248) 547-7931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011037 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Counseling Services LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Auburn Hills, MI
- NPI 1306268396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477563435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 W 12 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-547-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9315 TELEGRAPH",
"city": "REDFORD",
"state": "MI",
"postal_code": "48239",
"telephone_number": "313-450-4500",
"fax_number": "313-450-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301011037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.