Active NPI
Janice Acker, PSY D
- Clinical Psychologist
- Woodhaven, MI
National Provider Identifier
1710044359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- M6301011306
- Practice address
- 23933 Allen Rd
#15
Woodhaven, MI 48183 - Phone
- (734) 675-9700
- Fax
- (734) 675-9701
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | M6301011306 | MI | Primary |
Addresses
Primary practice location
23933 Allen Rd
#15
Woodhaven, MI 48183
Mailing address
PO Box 4
Grosse Ile, MI 48138
Phone (734) 675-9700
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090402000573 | MI | Practitioner - Clinical Psychologist | 3173670429 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23933 Allen Rd
Suite 15
Woodhaven, MI 48183-3369
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6301011306 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bridge Center for Growth, PC. | Clinical | Current | Accepting new patients |
| The Guidance Center, Adult and Family Services | Clinical | Past | Accepting new patients |
Locations
23933 Allen Rd
Ste 15
Woodhaven, MI 48183
Phone (734) 675-9700
Organizations & group practices 2
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.
-
- Professional Counselor
- Southgate, MI
- NPI 1306901178
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710044359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "GROSSE ILE",
"state": "MI",
"postal_code": "48138",
"telephone_number": "734-675-9700",
"fax_number": "734-675-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23933 ALLEN RD",
"address_2": "#15",
"city": "WOODHAVEN",
"state": "MI",
"postal_code": "48183",
"telephone_number": "734-675-9700",
"fax_number": "734-675-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKER",
"first_name": "JANICE",
"name_prefix": "Dr.",
"credential": "PSY D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "M6301011306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodhaven, MI
- Sami Adnan Abbasi, DO
- Sandra Darlene Abbott
- Nicholas Michael Abdallah, DDS
- Abdul Sattar Choudhry PC
- Ra'Id Abed, RPH
- Affordable Dentures & Implants - Michigan, PLLC
- Affordable Dentures & Implants - Woodhaven II, P.C.
- Affordable Dentures & Implants - Woodhaven, P.C.
- Awais Akram
- Allen Rd. Dental Center P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.