Active NPI
Jason Beers, PSY.D.
- Psychologist
- Novi, MI
National Provider Identifier
1508235235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301016488
- Practice address
- 28175 Haggerty Rd
Novi, MI 48377-2903 - Phone
- (630) 313-2575
- NPI assigned
- Sep 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301016488 | MI | Primary |
| Clinical Psychologist | 103TC0700X | 6301016488 | MI |
Addresses
Primary practice location
28175 Haggerty Rd
Novi, MI 48377-2903
Mailing address
28175 Haggerty Rd
Novi, MI 48377-2903
Phone (630) 313-2575
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28175 Haggerty Rd
Novi, MI 48377-2903
Phone (630) 313-2575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301016488 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Roots Psychological Services, PLLC | Psychologist | Current | Accepting new patients |
Locations
115 N Center St
Ste 202
Northville, MI 48167
Phone (248) 347-3470
28175 Haggerty Rd
Novi, MI 48377
Phone (248) 994-7759
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.
-
- Psychologist
- Novi, MI
- NPI 1164988481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1508235235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28175 HAGGERTY RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483772903",
"telephone_number": "630-313-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28175 HAGGERTY RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483772903",
"telephone_number": "630-313-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEERS",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-23",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301016488",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016488",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.