JENNIFER C LARSON (NPI# 1316380736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316380736 |
| Entity Type | Individual |
| Full Name | JENNIFER C LARSON |
| Credential | PHD |
| Practice Address |
325 East Eisenhower Suite 300 Ann Arbor MI 48108-5744 |
| Mailing Address |
3621 South State Street 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349367052 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2015-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 6301016395 | MI | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512856 | Jennifer Larson | Nurse Practitioner | 8325 Barrens Rd, Roanoke, VA 24019-6701 | 2020-09-08 |
| 1427572189 | Jennifer S Larson | Social Worker | 4703 Nw 53rd Ave Ste B2, Gainesville, FL 32653-3403 | 2017-08-03 |
| 1972975019 | Jennifer Larson | Pharmacist | 2707 Gallop Dr, Santa Rosa, CA 95407-4541 | 2015-10-28 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1952610412 | Jennifer L Larson | Physical Therapist | 1309 W Guadalupe Rd, Suite 1, Mesa, AZ 85202-9112 | 2010-10-01 |
| 1477866762 | Jennifer Rae Larson | Pharmacist | 702 Eagle Hts, Apt. C, Madison, WI 53705-1587 | 2010-07-15 |
| 1508041807 | Jennifer Larson | Counselor | 25 E Washington St Ste 1406, Chicago, IL 60602-1820 | 2008-01-04 |
| 1902005903 | Jennifer Anne Larson | Dentist | 1110 Se 8th St Bldg 200, Ocala, FL 34471-4045 | 2007-07-11 |
| 1629156500 | Jennifer Sue Larson | Dentist | 216 N Lake St, Boyne City, MI 49712-1210 | 2006-11-01 |
| 1487665584 | Jennifer Rebekah Larson | Clinical Neuropsychologist | 8406 Six Forks Rd Ste 101, Raleigh, NC 27615-3075 | 2006-08-11 |
| Street Address |
325 EAST EISENHOWER SUITE 300 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-5744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124007208 | Wade Michael Cooper | Psychiatry & Neurology | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2006-01-17 |
| 1588119168 | Evan Lee Smith | Psychologist | 325 East Eisenhower, Suite 300, Ann Arbor, MI 48108-5744 | 2016-08-24 |
| 1073916391 | Sarah Whitney Laponsa | Physician Assistant | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-3364 | 2014-10-01 |
| 1447664156 | Moayad Saleh Alabdulkarim | Internal Medicine | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108 | 2014-06-20 |
| 1073926861 | Douglas Stanley Verrill | Internal Medicine | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-06-09 |
| 1952713125 | Shahd Haidar | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-05-22 |
| 1093135410 | Reina Nakamura | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-04-24 |
| 1295155828 | Braden Matthew Boji | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-04-22 |
| 1518386671 | Mary Megan Schmidt | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-04-15 |
| 1861828568 | Nathan Rhys Farlow | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-3364 | 2013-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165146 | Woojin Song | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2014-05-03 |
| 1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
| 1801164496 | Veronica Ichikawa Dillon | Clinical Neuropsychologist | 5600 Meadow Dr, Ann Arbor, MI 48105-9368 | 2011-12-09 |
| 1154592053 | John Robert Milanovich | Clinical Neuropsychologist | 2001 Commonwealth Blvd, Ann Arbor, MI 48105-2947 | 2008-03-19 |
| 1639393614 | Roger E. Lauer | Clinical Neuropsychologist | 5864 Interface Dr Ste D, Ann Arbor, MI 48103-9514 | 2007-04-12 |
| 1780797621 | Elise Kay Hodges | Clinical Neuropsychologist | 2101 Commonwealth, Ann Arbor, MI 48105-2969 | 2006-08-16 |
| 1083236095 | Amanda Maher | Clinical Neuropsychologist | 2101 Commonwealth Blvd, Ann Arbor, MI 48105-2969 | 2020-05-13 |
| 1811557960 | Rowena Ng | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2019-06-19 |
| 1053899344 | Annalise Marie Rahman-filipiak | Clinical Neuropsychologist | 2101 Commonwealth Blvd, Suite C, Ann Arbor, MI 48105-2969 | 2018-07-30 |
| 1619461787 | Cynthia Zurhellen Burton | Clinical Neuropsychologist | 2101 Commonwealth, Ann Arbor, MI 48105-2969 | 2018-06-21 |
| Find all providers in ANN ARBOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.