Active NPI
Jacqueline Dellwo Robbins, M.A.L.L.P.
- Counseling Psychologist
- Brighton, MI
National Provider Identifier
1851475040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301008387
- Practice address
- 2300 Genoa Business Park Dr
Suite 180
Brighton, MI 48114-7367 - Phone
- (810) 220-2787
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301008387 | MI | Primary |
Addresses
Primary practice location
2300 Genoa Business Park Dr
Suite 180
Brighton, MI 48114-7367
Mailing address
10795 Arbour Dr
Brighton, MI 48114-9039
Phone (810) 225-9319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008387 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Psychologist | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.jacquelinerobbins@150339.advancedmd-direct.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851475040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10795 ARBOUR DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481149039",
"telephone_number": "810-225-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GENOA BUSINESS PARK DR",
"address_2": "SUITE 180",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481147367",
"telephone_number": "810-220-2787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "JACQUELINE",
"middle_name": "DELLWO",
"name_prefix": "Ms.",
"credential": "M.A.L.L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301008387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.