Jeffrey R. Kertes, PH.D., PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301009043 Issued in MI

Legal business name

JEFFREY R. KERTES, PH.D., PLC

Practice address

32255 Northwestern Hwy Ste 60
Farmington Hills, MI 48334-1505

Phone

(248) 851-1432

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Jeffrey Reuben Kertes, PH.D.NPI 1689767733

Title

Owner

Phone

(248) 851-1432

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Reuben Kertes, PH.D.

  • Psychologist
  • Farmington Hills, MI
  • NPI 1689767733
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1821275751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD",
            "address_2": "SUITE 424",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223604",
            "telephone_number": "248-626-4600",
            "fax_number": "248-626-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 60",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341505",
            "telephone_number": "248-851-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R. KERTES, PH.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "KERTES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "REUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-851-1432",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Jefferson
• Whitney Jefferson
• Anthony Jeffery
• Mercede Jeffery
• Jeffrey Noroyan, P. C.
• Cahlee Jeffrey
• Maureen Denise Jeffrey
• Hunter Jeffreys
• Shimira Jeffries-Taylor
• April Lee Jeffries, M.A.

• Clinical Psychologist in Farmington Hills, MI
• Providers in Farmington Hills, 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 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.