Jill L. Kofender, PHD, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012830 Issued in MI

Legal business name

JILL L. KOFENDER, PHD, PLLC

Practice address

5640 West Maple Rd
Suite 205
West Bloomfield, MI 48322-3718

Phone

(248) 867-8766

Fax

(248) 669-1925

NPI assigned

Sep 27, 2007

Last updated

Jan 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill L Kofender, PHDNPI 1912107020

Title

Owner

Phone

(248) 867-8766

Specialties & licenses 1

Addresses

Other names 1

• Jill L. Schram, PhD, PLLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill Leslie Kofender, PHD

  • Psychologist
  • Waterford, MI
  • NPI 1912107020
  Authorized official Same address or phone

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1841487444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 WEST MAPLE RD",
            "address_2": "SUITE 205",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223718",
            "telephone_number": "248-867-8766",
            "fax_number": "248-669-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 WEST MAPLE RD",
            "address_2": "SUITE 205",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223718",
            "telephone_number": "248-867-8766",
            "fax_number": "248-669-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL L. KOFENDER, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "KOFENDER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-867-8766",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill L. Schram, PhD, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jewish Home Services, Inc. Fka Jewish Home Aging Services (Dorothy and Peter Brown Jewish Community Adult Day Program)
• Anuj Jhaveri, DDS
• Jian Chen,M.D.,P.C.
• Hiam Jiddou
• Rand Jiddou
• Jon Jimenez, OD
• Zina Jirjees
• Arvette Johnson, CMT
• Ashley Johnson
• Chelsea Suzanne Johnson, LLMSW

• Clinical Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.