Individual provider Active NPI

Sarah Jayne Jonovich, PH.D.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1972753572
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015980 Issued in MI
Practice address
210 S 5TH Ave
Ann Arbor, MI 48104-2216
Phone
(734) 764-6571
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 6301015980 MI
Clinical Psychologist 103TC0700X 6301015980 MI Primary

Addresses

Primary practice location

210 S 5TH Ave
Ann Arbor, MI 48104-2216

Mailing address

210 S 5TH Ave
Ann Arbor, MI 48104-2216
Phone (734) 615-7853

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301015980MIMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Michigan Psychological Clinic CurrentSince Jul 28, 2024 Accepting new patients
University of Michigan-University Center for the Child and Family Clinical Child & Adolescent CurrentSince Jul 28, 2024 Accepting new patients

Locations

500 E Washington St
Ste 100
Ann Arbor, MI 48104
Phone (734) 763-3471

210 S 5th Ave
Ann Arbor, MI 48104
Phone (734) 615-7853

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1972753572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 5TH AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042216",
            "telephone_number": "734-615-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 5TH AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042216",
            "telephone_number": "734-764-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONOVICH",
        "first_name": "SARAH",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2024-01-23",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301015980",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.