Individual provider Active NPI

Rebecca Jarvis

  • Clinical Psychologist
  • Livonia, MI
National Provider Identifier
1952171555
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301019718 Issued in MI
Practice address
33447 Cindy St
Livonia, MI 48150-2601
Phone
(313) 319-6923
NPI assigned
Jan 4, 2024
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301019718 MI Primary

Addresses

Primary practice location

33447 Cindy St
Livonia, MI 48150-2601

Mailing address

33447 Cindy St
Livonia, MI 48150-2601
Phone (313) 319-6923

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929003265 MI Practitioner - Psychiatry 9537665690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25600 Woodward Ave
Suite 109
Royal Oak, MI 48067-0944

33447 Cindy St
Livonia, MI 48150-2601

8646 Joann Dr
Newport, MI 48166-9367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Neuropsychology Consultants LLC CurrentSince Aug 30, 2025 Accepting new patients
Sollars and Associates CurrentSince Nov 18, 2025 Accepting new patients

Locations

725 S Adams Rd
Ste 235
Birmingham, MI 48009
Phone (248) 593-9276

1295 S Linden Rd
Flint, MI 48532

25600 Woodward Ave
Ste 109
Royal Oak, MI 48067
Phone (248) 429-9145

1777 Axtell Dr
Ste 100
Troy, MI 48084
Phone (248) 862-1171

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1952171555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33447 CINDY ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502601",
            "telephone_number": "313-319-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33447 CINDY ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502601",
            "telephone_number": "313-319-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.