JESSICA MERRILL (NPI# 1578994570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578994570 |
| Entity Type | Individual |
| Full Name | JESSICA MERRILL |
| Credential | LLP |
| Practice Address |
4461 Aster Blvd Howell MI 48843-6524 |
| Practice Telephone | 5172943376 |
| Mailing Telephone | 5172943376 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301015712 | MI | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984664 | Jessica Nicole Merrill | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2018-12-20 |
| 1306346390 | Jessica A Merrill | Behavior Technician | 733 Dante St, New Orleans, LA 70118-1013 | 2018-02-15 |
| 1962757278 | Jessica Alyce Merrill | Pharmacist | 17450 Us Highway 441, T-2062, Mount Dora, FL 32757-6748 | 2012-07-24 |
| Street Address |
4461 ASTER BLVD |
| City | HOWELL |
| State | MI |
| Zip Code | 48843-6524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050775 | Kaylee Primeau | Behavioral Analyst | 3292 Beck Rd, Howell, MI 48843 | 2018-10-28 |
| 1750869988 | Leanna Lynn Lopez | Occupational Therapist | 4286 Mcgunn Rd, Howell, MI 48843 | 2018-07-31 |
| 1942719133 | Tracey Ann Ulmer | Specialist | 622 Grand River, Howell, MI 48843 | 2017-09-20 |
| 1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
| 1558817288 | Amy Binns | Technician, Other | 5280 Whistler Pt, Howell, MI 48843 | 2016-09-01 |
| 1033571112 | Diversified Counseling and Consulting Services, Pllc | Social Worker | 1004 S. Michigan Ave., Suite 203, Howell, MI 48843 | 2016-03-28 |
| 1174998801 | Level Eleven Howell | Clinic/Center | 1030 W. Highland Rd, Howell, MI 48843 | 2015-12-07 |
| 1285021170 | Frances Vitale | Behavioral Analyst | 308 Tullamore St, Howell, MI 48843 | 2015-04-19 |
| 1487059671 | Michigan Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 1800 Dorr Rd., Howell, MI 48843 | 2014-10-30 |
| 1720483027 | Assuredtrans Services, Inc. | Non-emergency Medical Transport (VAN) | 1800 Dorr Rd, Howell, MI 48843 | 2014-10-29 |
| Find all providers in zip 48843 | ||||
| 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 |
|---|---|---|---|---|
| 1265661581 | Micki R. Wierman | Psychologist | 325 S Michigan Ave # 440, Howell, MI 48843-2216 | 2009-07-08 |
| 1356940969 | Micki R Wierman Ma Pllc | Psychologist | 325 S Michigan Ave # 440, Howell, MI 48843-2216 | 2020-10-23 |
| 1790991073 | Erica Marie Blackbourn | Psychologist | 138 W Highland Rd, Suite 500-600, Howell, MI 48843-2168 | 2007-05-15 |
| 1497875710 | Anita Alia Schubbe | Psychologist | 2901 E Grand River Ave, Howell, MI 48843-8548 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
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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.