Individual provider Active NPI

Jamila Simone Steward

  • Clinical Psychologist
  • Farmington Hills, MI
National Provider Identifier
1952900037
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301018002 Issued in MI
Practice address
31275 Northwestern Hwy Ste 216
Farmington Hills, MI 48334-2570
Phone
(248) 469-2476
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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 6301018002 MI Primary

Addresses

Primary practice location

31275 Northwestern Hwy Ste 216
Farmington Hills, MI 48334-2570

Mailing address

31275 Northwestern Hwy Ste 216
Farmington Hills, MI 48334-2570
Phone (248) 469-2476

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.therapynotes.com Other

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301018002MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Behavioral Health, P.C. CurrentSince Oct 25, 2020 Accepting new patients

Locations

31275 Northwestern Hwy
Ste 216
Farmington Hills, MI 48334
Phone (248) 469-2476

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.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1952900037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31275 NORTHWESTERN HWY STE 216",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342570",
            "telephone_number": "248-469-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31275 NORTHWESTERN HWY STE 216",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342570",
            "telephone_number": "248-469-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "JAMILA",
        "middle_name": "SIMONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "www.therapynotes.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "therapy notes",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "therapy notes",
            "address_1": "31275 Northwestern Hwy Ste 216",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483342570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.