Jennifer Riccobono, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361008210 Issued in MI

Practice address

55951 Gratiot Ave
Chesterfield, MI 48051-1221

Phone

(586) 438-0069

NPI assigned

Feb 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Trails to Tranquility PLLC

  • Psychologist
  • Chesterfield, MI
  • NPI 1568315265
  NPD Authorized official
• Crawl Walk Jump Run Therapy Clinic

  • Rehabilitation Clinic/Center
  • Clinton Township, MI
  • NPI 1720488620
  NPD (past)
• Crawl Walk Jump Run Therapy Clinic LLC

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1730363573
  NPD (past)
• Peyton & Davenport, Inc

  • Psychologist
  • Clarkston, MI
  • NPI 1518291806

  Clinical

  NPD (past)

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1609375534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50598 HELMANDALE ST",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473636",
            "telephone_number": "586-438-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55951 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480511221",
            "telephone_number": "586-438-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6770 Dixie Hwy Ste 314",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483465114",
            "country_code": "US",
            "telephone_number": "248-762-5820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCOBONO",
        "first_name": "JENNIFER",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361008210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Reynolds
• Denise Ann Reynolds, SWT
• Renee Reynolds
• Kathleen A Rheaume, M.D.
• Maria Rhinehart, LCSW
• Stephanie Lee Rice
• Susanne O Rice, FAMILY NP
• Angel Richard
• Sarah Richard
• Alexandria Richardson

• Clinical Psychologist in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.