ASHLEY MARIAM JACOB (NPI# 1447876354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447876354 |
| Entity Type | Individual |
| Full Name | ASHLEY MARIAM JACOB |
| Credential | PSYD |
| Practice Address |
1777 Axtell Dr Ste 100 Troy MI 48084-4400 |
| Mailing Address |
1777 Axtell Dr Ste 1000 Troy MI 48084-4404 |
| Practice Telephone | 2487873831 |
| Mailing Telephone | 2487870855 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6351000240 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235597956 | Ashley R Jacob | Physician Assistant | 545 Barnhill Dr, Suite 232, Indianapolis, IN 46202-5112 | 2016-02-09 |
| 1194168856 | Ashley M Jacob | Physician Assistant | 4461 Coit Rd, Suite 405, Frisco, TX 75035-0521 | 2013-04-12 |
| Street Address |
1777 AXTELL DR STE 100 |
| City | TROY |
| State | MI |
| Zip Code | 48084-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992971493 | Somerset Therapy Center | Chiropractor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2008-05-05 |
| 1740881044 | Angelia Evangelista | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-11-03 |
| 1861092280 | Paige Moore | Social Worker | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-26 |
| 1518566975 | Casey Lynn Webb | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-18 |
| 1619576006 | Evelyn Stilwell | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-18 |
| 1699374058 | Stefanie Kloiber | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-17 |
| 1447859871 | Heather Weise | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-16 |
| 1588270904 | Rita Colleen Burd | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-09-21 |
| 1790390458 | Takween Dwaik | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-09-10 |
| 1265044556 | Mark Peyton Blanchard | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568943181 | Kristen Ghersi Hurrell | Psychologist | 3725 Rochester Rd, Troy, MI 48083-5244 | 2018-08-22 |
| 1225578214 | Casey Michelle Bazarewski | Psychologist | 5115 Babbit Dr, Troy, MI 48085-3448 | 2017-02-24 |
| 1902268402 | Michael Pignatiello | Psychologist | 1314 Windy Hill Ct, Troy, OH 45373-4572 | 2016-03-23 |
| 1932442829 | Jasmin Patel | Psychologist | 416 Evaline Dr, Troy, MI 48085-5509 | 2013-03-29 |
| 1851690721 | Melissa Kandah | Psychologist | 2221 Livernois Rd Ste 101, Troy, MI 48083-1603 | 2011-03-17 |
| 1205134525 | Michigan Behavioral Medicine | Psychologist | 625 E Big Beaver Road, Suite 101, Troy, MI 48083 | 2011-03-10 |
| 1710282611 | Marcie Wagner | Psychologist | 4780 Orchard Ridge Dr, Troy, MI 48098-4121 | 2011-01-24 |
| 1093832818 | James Wargel | Psychologist | 200 East Big Beaver Rd, Troy, MI 48083-1208 | 2007-03-25 |
| 1427197409 | James Clifford Kors | Psychologist | 2075 West Big Beaver, Suite 520, Troy, MI 48084 | 2007-02-06 |
| 1801949391 | John Thomas Lynch IIi | Psychologist | 3336 Essex Dr, Troy, MI 48084-2705 | 2007-01-19 |
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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.