Active NPI
Jamye Renee Banks, PHD
- Psychologist
- Van Buren TWP, MI
National Provider Identifier
1871229724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301018430
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301018430 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illuminating Perspectives Counseling & Consultation, LLC | Counseling | Current | 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.
-
- Counseling Psychologist
- Van Buren TWP, MI
- NPI 1780363465
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.