Jessica Marie Stavale, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6362009562 Issued in MI

Practice address

1135 W University Dr Ste 445
Rochester, MI 48307-1897

Phone

(248) 413-5077

NPI assigned

Jul 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Alliance Psychological Services

  • Clinical Psychologist
  • Rochester, MI
  • NPI 1639558620
  NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1851027452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LONG MEADOWS CT",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 445",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071897",
            "telephone_number": "248-413-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVALE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362009562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstavale@alliancepsychologicalservices.net",
            "affiliation": "N",
            "address_1": "1135 W University Dr Ste 445",
            "city": "Rochester",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483071897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Amanda Starick, MSW, SSW
• Jared W Stark, MD
• Joseph J Steger Jr.
• Anne M Steinman, CRNA
• Jacob M Stepp, PHARMD
• Steven C Reynolds D.D.S, P.C.
• Stoney Creek Speech

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.