JLJ Clinical Psychology, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013418 Issued in MI

Legal business name

JLJ CLINICAL PSYCHOLOGY, PC

Practice address

200 Diversion St
Suite 150
Rochester Hills, MI 48307-2267

Phone

(248) 506-9515

NPI assigned

Mar 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Lee Jenkins, PH.D.

Title

Owner

Phone

(248) 506-9515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1902104680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DIVERSION ST",
            "address_2": "SUITE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072267",
            "telephone_number": "248-506-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DIVERSION ST",
            "address_2": "SUITE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072267",
            "telephone_number": "248-506-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLJ CLINICAL PSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-506-9515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ruth Jernberg, PH. D.
• Aldin Jerome, MD
• Erica Jeszke, PT
• Savio George Jibrael, PHARM D
• Sumit Jindal, PT
• Joel L. Young, M.D., P.C.
• Joel L. Young, M.D., P.C.
• Yvonne T. Joelson, LPN
• John B Calado, P.C.
• John E. Tower DO PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.