Organization Active NPI

Barry Jay, PH.D., P.L.L.C.

  • Community/Behavioral Health Agency
  • West Bloomfield, MI
National Provider Identifier
1659682383
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301002993 Issued in MI
Legal business name
BARRY JAY, PH.D., P.L.L.C.
Practice address
6022 W Maple Rd
Ste 414
West Bloomfield, MI 48322-4408
Phone
(248) 626-8889
Fax
(248) 366-1126
NPI assigned
Jun 28, 2010
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Barry Jay, PH.D.NPI 1447229638
Title
Licensed Clinical Psychologist
Phone
(248) 626-8889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6301002993 MI Primary

Addresses

Primary practice location

6022 W Maple Rd
Ste 414
West Bloomfield, MI 48322-4408

Mailing address

6022 W Maple Rd
Ste 414
West Bloomfield, MI 48322-4408
Phone (248) 626-8889

National Provider Directory

National Provider Directory

Locations

6022 W Maple Rd
Ste 414
West Bloomfield, MI 48322
Phone (248) 626-8889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1659682383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 W MAPLE RD",
            "address_2": "STE 414",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224408",
            "telephone_number": "248-626-8889",
            "fax_number": "248-366-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 W MAPLE RD",
            "address_2": "STE 414",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224408",
            "telephone_number": "248-626-8889",
            "fax_number": "248-366-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY JAY, PH.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-626-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301002993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.