Active NPI
Ross Douglas Jarvis, M.S., L.L.P.
- Psychologist
- Caro, MI
National Provider Identifier
1649618703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301002244
- Practice address
- 1655 E Caro Rd
Caro, MI 48723-9319 - Phone
- (989) 673-2500
- Fax
- (989) 673-3979
- NPI assigned
- Jun 11, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 6301002244 | MI | Primary |
Addresses
Primary practice location
1655 E Caro Rd
Caro, MI 48723-9319
Mailing address
PO Box 289
Caro, MI 48723-0289
Phone (989) 673-2500
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301002244 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1649618703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 289",
"city": "CARO",
"state": "MI",
"postal_code": "487230289",
"telephone_number": "989-673-2500",
"fax_number": "989-673-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 E CARO RD",
"city": "CARO",
"state": "MI",
"postal_code": "487239319",
"telephone_number": "989-673-2500",
"fax_number": "989-673-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "ROSS",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "M.S., L.L.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301002244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caro, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.