Individual provider Active NPI

John S Hand, PH.D.

  • Psychologist
  • Jackson, MI
National Provider Identifier
1710042916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301000944 Issued in MI
Practice address
505 Wildwood Ave
Suite 301
Jackson, MI 49201-1012
Phone
(517) 783-4418
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301000944 MI Primary

Addresses

Primary practice location

505 Wildwood Ave
Suite 301
Jackson, MI 49201-1012

Mailing address

505 Wildwood Avenue
Suite 301
Jackson, MN 49201
Phone (517) 783-4418

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
I20110824000512 MI Practitioner - Clinical Psychologist 5991975211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Wellness Center LLCGroup PAC ID 8527459304, 6 clinicians

Practice addresses (Care Compare)

1360 S Hillsdale Rd
Hillsdale, MI 49242-9367
Phone (517) 826-5242

263 Industrial Dr
Hillsdale, MI 49242-1078
Phone (517) 826-5242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Wellness Center LLC CurrentSince Jan 1, 2022 Accepting new patients
John S Hand PHD PC & Associates Psychologist CurrentSince Apr 2, 2011 Accepting new patients
Mareck Family and Geriatric Services, P.C. PastSince Jul 23, 2012 Accepting new patients

Locations

263 Industrial Dr
Hillsdale, MI 49242
Phone (517) 783-4418

505 Wildwood Ave
Jackson, MI 49201
Phone (517) 783-4418

1200 N West Ave
Ste 812
Jackson, MI 49202
Phone (517) 783-4418

505 Wildwood Ave
Ste 301
Jackson, MI 49201
Phone (517) 783-4418

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710042916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WILDWOOD AVENUE",
            "address_2": "SUITE 301",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "49201",
            "telephone_number": "517-783-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WILDWOOD AVE",
            "address_2": "SUITE 301",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011012",
            "telephone_number": "517-783-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAND",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301000944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.