Myriam Jensen, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301014043 Issued in MI

Practice address

210 W Highland Rd Ste 102
Highland, MI 48357-4573

Phone

(810) 215-1006

NPI assigned

Feb 11, 2014

Last updated

Oct 21, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Behavioral Clinic LLC

  • Psychologist
  • Highland, MI
  • NPI 1487146684
  NPD Authorized official
• Midwest Recovery LLC

  • Community/Behavioral Health Agency
  • Highland, MI
  • NPI 1235973033

  Psychologist

  NPD Authorized official
• Midwest Recovery LLC

  dba Oakland Recovery

  • Case Management Agency
  • Highland, MI
  • NPI 1992526107
  NPD Authorized official

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1811311871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W HIGHLAND RD STE 102",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574573",
            "telephone_number": "810-215-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W HIGHLAND RD STE 102",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574573",
            "telephone_number": "810-215-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MYRIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Therese Hydorn, PT
• Insightful, P.C.
• Ardeshir Irani, MD
• Lindsay Jackson, PA-C
• Kinza Jarral
• Amy M Johnson, LPC
• Ryan Robert Johnston, PA-C
• Cynthia M Kaczmarek
• Mark Kaczmarek, OD
• Tiffany Kaid

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.