Individual provider Active NPI

Emily Stewart Stevens, PSYD, MA

  • Clinical Psychologist
  • Jackson, MI
National Provider Identifier
1689744302
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301019732 Issued in MI
Practice address
1201 E Michigan Ave Ste 200
Jackson, MI 49201-1855
Phone
(517) 204-4841
Fax
(517) 205-5956
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301019732 MI Primary
Counseling Psychologist 103TC1900X 6361004766 MI
Health Psychologist 103TH0004X 6351004721 MI
Clinical Psychologist 103TC0700X 6351004721 MI

Addresses

Primary practice location

1201 E Michigan Ave Ste 200
Jackson, MI 49201-1855

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 744-8068

Other practice location 1

7920 Kirkland Ct
Portage, MI 49024
Phone (269) 345-0669

Other names 1

  • Miss Emily Stewart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024003380 MI Practitioner - Clinical Psychologist 1850824145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

1201 E Michigan Ave
200 Henry Ford Allegiance Pain Management C
Jackson, MI 49201-1852
Phone (517) 205-4841

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301019732MIMDClinical Psychologist
6361004766MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
W. a. Foote Memorial Hospital, Inc. Psychologist Current Accepting new patients
Lazar Psychological Services, LTD Clinical CurrentSince Oct 1, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jul 1, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc Clinical CurrentSince Jul 1, 2025 Accepting new patients

Locations

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1201 E Michigan Ave
Ste 200
Jackson, MI 49201
Phone (517) 204-4841

7920 Kirkland Ct
Portage, MI 49024
Phone (269) 345-0669

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1689744302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-744-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 200",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011855",
            "telephone_number": "517-204-4841",
            "fax_number": "517-205-5956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7920 Kirkland Ct",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "49024",
            "country_code": "US",
            "telephone_number": "269-345-0669",
            "fax_number": "269-345-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART STEVENS",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "PSYD, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019732",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6361004766",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MI",
            "license": "6351004721",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6351004721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "STEWART",
            "prefix": "MISS",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.