Jeffrey Scott Degroat, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012619 Issued in MI

Practice address

19900 E 10 Mile Rd
Suite 102
Saint Clair Shores, MI 48080-4412

Phone

(586) 776-3366

Fax

(586) 776-3369

NPI assigned

Jun 5, 2006

Last updated

May 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Psychologists PLCGroup PAC ID 5799827218, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Associated Psychologists PLC

  • Clinical Psychologist
  • Saint Clair Shores, MI
  • NPI 1629112420
  Medicare reassignment Care Compare group
• Jeffrey Degroat PHD PLLC

  • Clinical Psychologist
  • Saint Clair Shores, MI
  • NPI 1104066679
  Authorized official Same address or phone
• Carol a. Roekle, M.D., P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farmington Hills, MI
  • NPI 1659419257
  NPD (past)
• Counseling Associates Inc

  • Mental Health Counselor
  • West Bloomfield, MI
  • NPI 1629069471
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1912946971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 E 10 MILE RD",
            "address_2": "SUITE 102",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480804412",
            "telephone_number": "586-776-3366",
            "fax_number": "586-776-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 E 10 MILE RD",
            "address_2": "SUITE 102",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480804412",
            "telephone_number": "586-776-3366",
            "fax_number": "586-776-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROAT",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "012619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle De Varennes, M.S., PA-C
• Olivia Debets
• Samantha Decker
• Jennifer Dees, LMSW
• Lynne Marie Degrande, MSW
• Karen Wullaert Dekett, MA, LPC
• Terry Kenneth Deluca, M.D.
• Karen L Demchyna
• Kimberley Demerle, M.D.
• Michael R. Demers, M.D.

• Clinical Psychologist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.