Individual provider Active NPI

Jennifer Lynne Belt, PSYD

  • Clinical Psychologist
  • Rochester Hills, MI
National Provider Identifier
1942310792
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013859 Issued in MI
Practice address
1460 Walton Blvd
Suite 218
Rochester Hills, MI 48309-1768
Phone
(586) 873-6029
Fax
(586) 948-8593
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180005980 IL
Clinical Psychologist 103TC0700X 6301013859 MI Primary

Addresses

Primary practice location

1460 Walton Blvd
Suite 218
Rochester Hills, MI 48309-1768

Mailing address

48842 Rattle Run Dr
Macomb, MI 48044-2319
Phone (586) 873-6029

Other names 1

  • Ms. Jennifer Lynne Saur Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081124000344 MI Practitioner - Clinical Psychologist 9739249582 Reassigns benefits to 1 organization
Practice locations: Rochester Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1460 Walton Blvd
Rochester Hills, MI 48309-1779
Phone (586) 873-6029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180005980ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Sep 20, 2024 Accepting new patients
Shiloh Relationship Counseling, P.C. PastSince Feb 21, 2021 Accepting new patients
Agape Family Counseling, PLLC PastSince Dec 8, 2019 Accepting new patients
United Psychological Services Inc Clinical PastSince Feb 9, 2001 Accepting new patients
Clementine Counseling Past Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1942310792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48842 RATTLE RUN DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442319",
            "telephone_number": "586-873-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD",
            "address_2": "SUITE 218",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091768",
            "telephone_number": "586-873-6029",
            "fax_number": "586-948-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELT",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180005980",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SAUR",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.