Suzanne Jamail, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301009004 Issued in MI

Practice address

1114 Beach St
Flint, MI 48502-1407

Phone

(810) 767-4114

Fax

(810) 767-4429

NPI assigned

Jul 31, 2006

Last updated

Sep 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jamail Psychological Clinic PC

  • Psychologist
  • Flint, MI
  • NPI 1043245533
  NPD (past) Authorized official
• Suzanne R Jamail PH D

  • Clinical Psychologist
  • Flint, MI
  • NPI 1386031680
  NPD (past) Authorized official
• Geriatric Psychiatric Services PLLC

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1073753323
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1740296664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BEACH ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021407",
            "telephone_number": "810-767-4114",
            "fax_number": "810-767-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BEACH ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021407",
            "telephone_number": "810-767-4114",
            "fax_number": "810-767-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMAIL",
        "first_name": "SUZANNE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "383681520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Jagos, L.M.S.W.
• Neha Jain, MD
• Sarah Jajey, PRC, RAC
• Kelly Jaksa
• Jamail Psychological Clinic PC
• Jamal D Farhan, M.D., P.C.
• Ayesha Marium Jamal, MD
• James Brown MD PLC
• James C. Culver, M.D., P.C. (Pain Management Center of Flint)
• Lakeisha Lynette James-Miller

• Psychologist in Flint, MI
• Providers in Flint, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.