Jessica Ranae Beatty, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014373 Issued in MI

Practice address

35980 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-0903

Phone

(248) 220-3332

Fax

(248) 462-6963

NPI assigned

Sep 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Monarch Behavioral Health, PLLC

  • Psychologist
  • Bloomfield Hills, MI
  • NPI 1497272496
  NPD

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1629227004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35980 WOODWARD AVE STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040903",
            "telephone_number": "248-220-3332",
            "fax_number": "248-462-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35980 WOODWARD AVE STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040903",
            "telephone_number": "248-220-3332",
            "fax_number": "248-462-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JESSICA",
        "middle_name": "RANAE",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "6301013682",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart Anthony PC (The Counseling Centre)
• Chelsea Bartholomew, DPT
• Presley Bates, M.S., CCC-SLP
• Anjali Batra, DMD
• Taylor Beardsall, ATR-BC
• Donna Marie Beauvais, MSW
• Afzal Beemath, MD
• Antony Benjamin, LPC
• Benjamin R Bennett-Carpenter
• Daniel Mac Benton

• Clinical Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.