Jessica J Peatee, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301019523 Issued in MI

Practice address

2040 Grand River Anx Ste 300
Brighton, MI 48114-5313

Phone

(810) 224-1676

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• McCaskill Family Services

  • Mental Health Counselor
  • Plymouth, MI
  • NPI 1538602784
  NPD (past)

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1710609672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 GRAND RIVER ANX STE 300",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481145313",
            "telephone_number": "810-224-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 GRAND RIVER ANX STE 300",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481145313",
            "telephone_number": "810-224-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEATEE",
        "first_name": "JESSICA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Physical Therapy Clinic LLC
• Peak Physical Therapy Clinic LLC
• Pearle Vision Inc
• Susan Pearon, LLMSW, CADC
• Kieron Tye B Pearson
• Jordyn Ann Peddie
• Pediatric Associates of Livingston, PLLC
• Pediatric Dental Associates
• Maxine Pegram
• Caitlin Emily Peirce, M.D.

• Clinical Psychologist in Brighton, MI
• Providers in Brighton, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.