Emily Jane Escott, PSYD
Individual provider Active NPI Clinical Psychologist · Pleasant Ridge, MI
NPI 1518274331 · NPPES record last updated Oct 27, 2016
Key facts
- NPI
- 1518274331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301016394 (MI)
- Practice address
- 23650 Woodward Ave
Pleasant Ridge, MI 48069-1128 - Phone
- (248) 346-1200
- NPI assigned
- Sep 1, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Essential Neuropsychology Consultants LLC
Practice addresses (Care Compare)
25600 Woodward Ave
Suite 109
Royal Oak, MI 48067-0944
Phone (248) 909-2023
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170130000520 | MI | Practitioner - Clinical Psychologist | 7214219179 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jawad a Shah MD PC | Current |
Accepting new patients | |
| Essential Neuropsychology Consultants LLC | Psychologist | Current |
Accepting new patients |
| Jawad a Shah, MD PC | Current |
Accepting new patients |
Locations
4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
25600 Woodward Ave
Ste 109
Royal Oak, MI 48067
Phone (248) 429-9145
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301016394 | MI | Yes |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301016394 | MI | |
| Health Service Psychologist | 103TH0100X | 6301016394 | MI | |
| Health Psychologist | 103TH0004X | 6301016394 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
23650 Woodward Ave
Pleasant Ridge, MI 48069-1128
Mailing address
2331 Hamata St
Ferndale, MI 48220-1549
Phone (248) 909-2023
Other providers in Pleasant Ridge, MI
- Beverly Lynn Dailey
- Darcell Renee Dale
- Dana Howley PSYD
- Devonshire Counseling LLC
- Daniela Dillon
- Eboni Freeman
- Atif M George
- Shaye Golden
- Phyllis Hightower
- Michelle Holcombe
All providers in Pleasant Ridge, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.