JRS Psychological Services PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301001362 Issued in MI

Legal business name

JRS PSYCHOLOGICAL SERVICES PC

Practice address

21200 Raven
JRS Psychological Services PC
Eastpointe, MI 48021

Phone

(586) 772-0865

NPI assigned

Mar 13, 2008

Organization subpart

Yes

Parent organization

JRS PSYCHOLOGICAL SERVICES PCAs reported in NPPES

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

Authorized official

Name

Dr. Janine E Rutkowski, 5867720865

Title

Treasurer JRS Psychological Service

Phone

(586) 772-0865

Specialties & licenses 1

Addresses

Part of

JRS Psychological Services PC

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1972774495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21200 RAVEN AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213209",
            "telephone_number": "586-772-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21200 RAVEN",
            "address_2": "JRS PSYCHOLOGICAL SERVICES PC",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "48021",
            "telephone_number": "586-772-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRS PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JRS PSYCHOLOGICAL SERVICES PC",
        "enumeration_date": "2008-03-13",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURER JRS PSYCHOLOGICAL SERVICE",
        "authorized_official_telephone_number": "586-772-0865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "5867720865"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301001362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawana Johnson
• India Jordan
• Peter Jost, D.D.S.
• Danielle Joyce
• Daryl Kenneth Joyner Jr.
• K Kapordelis MD PLLC
• Wassan Jawad Kadhim, MD
• Konstantinos Kapordelis, MD
• Jawad Alam Karam
• Kenneth Karamon, RPH

• Psychologist in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.