Active NPI
Jennifer Smith Allswede, PHD
- Psychologist
- East Lansing, MI
National Provider Identifier
1891842001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301008335
- Practice address
- 411 W Lake Lansing Rd
East Lansing, MI 48823-8445 - Phone
- (517) 336-7366
- Fax
- (517) 336-0808
- NPI assigned
- Jan 3, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301008335 | MI | Primary |
Addresses
Primary practice location
411 W Lake Lansing Rd
East Lansing, MI 48823-8445
Mailing address
PO Box 4455
East Lansing, MI 48826-4455
Phone (517) 336-7366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03815 | Other | MI | VALUE OPTIONS |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008335 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological and Consultation Services PC | Psychologist | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891842001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4455",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488264455",
"telephone_number": "517-336-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488238445",
"telephone_number": "517-336-7366",
"fax_number": "517-336-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLSWEDE",
"first_name": "JENNIFER",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301008335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "03815",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, 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.