Jillian Fortain, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301016800 Issued in MI

Practice address

441 S Livernois Rd
Suite 100
Rochester Hills, MI 48307-2584

Phone

(248) 608-8800

NPI assigned

Aug 15, 2016

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

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joel L Young MD PCGroup PAC ID 3971575929, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Joel L. Young, M.D., P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester Hills, MI
  • NPI 1396753729
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1750836102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072584",
            "telephone_number": "248-608-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072584",
            "telephone_number": "248-608-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTAIN",
        "first_name": "JILLIAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahla Forcon Alhuk, NP
• Jeanne M Ford, LPN
• Rachel Laura Ford, PA-C
• Scott M Forfinski, PT
• Forrester Counseling, LLC
• Chelsea Nicole Fortin, M.D.
• Sadie Lynette Fortress, LLMSW
• Arthur H Fossen, PT
• Georgia Fournier
• Barbara Eileen Fouts, PHARMACIST

• Psychologist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.