Individual provider Active NPI

Jordan Aguilera

  • Psychologist
  • Trenton, MI
National Provider Identifier
1548091770
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6362010207 Issued in MI
Practice address
2836 W Jefferson Ave
Trenton, MI 48183-2902
Phone
(734) 301-5748
NPI assigned
Aug 9, 2024
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6362010207 MI Primary

Addresses

Primary practice location

2836 W Jefferson Ave
Trenton, MI 48183-2902

Mailing address

9170 Byromar LN
Grosse Ile, MI 48138-1203
Phone (734) 558-6086

Other practice location 1

9170 Byromar Ln
Grosse Ile, MI 48138-1203
Phone (734) 558-6086

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

State licenses

LicenseStateTypeSpecialty
6362010207MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hegira PastSince Aug 1, 2024 Accepting new patients
Hegira PastSince Aug 1, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1548091770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9170 BYROMAR LN",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381203",
            "telephone_number": "734-558-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 W JEFFERSON AVE",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832902",
            "telephone_number": "734-301-5748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9170 Byromar Ln",
            "address_purpose": "LOCATION",
            "city": "Grosse Ile",
            "state": "MI",
            "postal_code": "481381203",
            "country_code": "US",
            "telephone_number": "734-558-6086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILERA",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6362010207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.