Jamie Lynn Decker, MA, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016596 Issued in MI

Practice address

1099 44TH St SW Ste 103
Wyoming, MI 49509-4473

Phone

(269) 459-1818

Fax

(269) 365-9951

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Jamie Decker Inc.

  • Psychologist
  • Grand Rapids, MI
  • NPI 1710812318
  NPD
• Meredith Psychological and Testing Services, LLC

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1558735266
  NPD (past)
• Our Hope Association

  • Substance Abuse Rehabilitation Facility
  • Grand Rapids, MI
  • NPI 1427115336
  NPD (past)
• Way to Thrive

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1043143365
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1730671546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LYON ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035607",
            "telephone_number": "616-451-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 44TH ST SW STE 103",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094473",
            "telephone_number": "269-459-1818",
            "fax_number": "269-365-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007511",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Louise De Nolf, NNP
• De Young Dental Associates, PLLC
• Randall Scott De Young, DDS
• Miranda Grace Deal, RDN
• Kileya Deb0Arge
• Kevin F Dedoe, NP
• Cassandra Dedoes, LLPC
• Deepwood Afc LLC
• Lisa Degroot
• Alexander Paul Dehaan, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.