Serena Jaber

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6362009978 Issued in MI

Practice address

20600 Eureka Rd Ste 900
Taylor, MI 48180-5376

Phone

(734) 785-7700

NPI assigned

Aug 8, 2024

Sex

Female

Sole proprietor

No

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.

• Betz King PC

  • Clinical Psychologist
  • Farmington Hills, MI
  • NPI 1538303474

  Clinical

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2024.

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1750112181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BOLDT ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242430",
            "telephone_number": "508-963-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 EUREKA RD STE 900",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805376",
            "telephone_number": "734-785-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABER",
        "first_name": "SERENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362009978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keiko Inouye, DO
• Intuitive Angel Care LLC
• Taha F Issa
• Angel Izuagbe
• Faten A Jaafar
• Helen Louise Jackson, PSYD, LLP
• Rickey T. Jackson, PSY. S.
• Umakanth Reddy Jagu
• Lani Jakovac, OTRL
• Linda Jakubus

• All providers in Taylor, MI
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.