Individual provider Active NPI

Jamye Renee Banks, PHD

  • Psychologist
  • Van Buren TWP, MI
National Provider Identifier
1871229724
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301018430 Issued in MI
Practice address
13377 Lake Point Blvd
Van Buren TWP, MI 48111-2288
Phone
(716) 480-4152
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301018430 MI
Psychologist 103T00000X 6301018430 MI Primary

Addresses

Primary practice location

13377 Lake Point Blvd
Van Buren TWP, MI 48111-2288

Mailing address

2035 Hogback Rd Ste 201
Ann Arbor, MI 48105-9488
Phone (734) 252-6258

Other practice location 1

2035 Hogback Rd Ste 201
Ann Arbor, MI 48105-9488
Phone (734) 252-6258

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301018430MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Illuminating Perspectives Counseling & Consultation, LLC Counseling CurrentSince Jul 16, 2023 Accepting new patients

Locations

2601 Jackson Ave
#1158
Ann Arbor, MI 48103

2035 Hogback Rd
Ste 201
Ann Arbor, MI 48105
Phone (248) 509-4617

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1871229724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 HOGBACK RD STE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059488",
            "telephone_number": "734-252-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13377 LAKE POINT BLVD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481112288",
            "telephone_number": "716-480-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Hogback Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059488",
            "country_code": "US",
            "telephone_number": "734-252-6258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "JAMYE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301018430",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.