Jennifer Vinch MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301094469 Issued in MI

Legal business name

JENNIFER VINCH MD PLLC

Practice address

43200 Dequindre Rd
Ste 104
Sterling HTS, MI 48314-1707

Phone

(586) 799-4350

Fax

(586) 799-4279

NPI assigned

May 21, 2014

Last updated

May 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Vinch, M.D.

Title

Owner

Phone

(586) 799-4350

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jennifer Ann Wood, MD

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1275769762
  NPD

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1710399001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55495 PARKVIEW DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483161031",
            "telephone_number": "810-794-7750",
            "fax_number": "810-794-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD",
            "address_2": "STE 104",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-799-4350",
            "fax_number": "586-799-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER VINCH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "VINCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-799-4350",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301094469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4301094469",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• Megan Hryckowian-Mazur
• Integrative Pain Specialist of Michigan PLLC
• Cynthia M Jackson
• Kathy Kain
• Jolie Karadsheh
• Pramod Kerkar, MD
• Stuart J Kessler, DDS
• Khullar MD & Associates PLLC

• Psychiatry Physician in Sterling HTS, MI
• Providers in Sterling HTS, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.