Active NPI
Jordan Aguilera
- Psychologist
- Trenton, MI
National Provider Identifier
1548091770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362010207
- Practice address
- 2836 W Jefferson Ave
Trenton, MI 48183-2902 - Phone
- (734) 301-5748
- NPI assigned
- Aug 9, 2024
- Last updated
- Jul 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6362010207 | MI | MD | Psychologist |
Practice roles
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.
-
- Health Maintenance Organization
- Livonia, MI
- NPI 1881060325
-
- Case Management Agency
- Livonia, MI
- NPI 1881061752
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.