Individual provider Active NPI

Allison Ana Ilem, PHD

  • Clinical Psychologist
  • Grand Rapids, MI
National Provider Identifier
1730416462
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301016286 Issued in MI
Practice address
4467 Cascade Rd SE Ste 4469
Grand Rapids, MI 49546-3776
Phone
(616) 209-8862
NPI assigned
Nov 18, 2009
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301016286 MI Primary

Addresses

Primary practice location

4467 Cascade Rd SE Ste 4469
Grand Rapids, MI 49546-3776

Mailing address

4467 Cascade Rd SE Ste 4469
Grand Rapids, MI 49546-3776
Phone (616) 209-8862

Other names 1

  • Dr. Allison A Jay 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
I20151109000508 MI Practitioner - Clinical Psychologist 0547570285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4467 Cascade Rd SE
Suite 4469
Grand Rapids, MI 49546-3776
Phone (616) 209-8862

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jaybird and Oak Clinical CurrentSince Dec 17, 2025 Accepting new patients

Locations

4467 Cascade Rd SE
Ste 4469
Grand Rapids, MI 49546
Phone (616) 209-8862

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1730416462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 CASCADE RD SE STE 4469",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463776",
            "telephone_number": "616-209-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 CASCADE RD SE STE 4469",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463776",
            "telephone_number": "616-209-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILEM",
        "first_name": "ALLISON",
        "middle_name": "ANA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "JAY",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PHD, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.