JENNIFER DESCHRYVER (NPI# 1932382397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932382397 |
| Entity Type | Individual |
| Full Name | JENNIFER DESCHRYVER |
| Credential | PSY.D. |
| Practice Address |
4120 W Maple Rd Suite 101 Bloomfield Hills MI 48301-3010 |
| Mailing Address |
18915 Doris St Livonia MI 48152-1921 |
| Practice Telephone | 2488904077 |
| Practice Fax Number | 2488554530 |
| Mailing Telephone | 2488904077 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2010-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301011358 | MI | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301011358 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 68-0-F3-0385-0 | 01 |
| Street Address |
4120 W MAPLE RD SUITE 101 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48301-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043419062 | Donald F Silver | Psychiatry & Neurology | 4120 W Maple Rd, 105, Bloomfield Hills, MI 48301-3010 | 2007-07-11 |
| 1801140165 | Erin Nicole Koppelman | Nurse Practitioner | 4120 W Maple Rd, Suite 206, Bloomfield Hills, MI 48301-3010 | 2012-11-07 |
| 1629219910 | Country Club Home Care LLC | In Home Supportive Care | 4120 W Maple Rd, Suite 201, Bloomfield Hills, MI 48301-3010 | 2009-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278992 | Next Level Home Care | Home Health | 3595 W Maple Rd Ste 208, Bloomfield Hills, MI 48301 | 2020-02-24 |
| 1811352230 | Freda B. Lerman, Lpc, Psyd, Lp, Pllc | Psychologist | 6905 Telegraph Road Suite 100, Bloomfield Hills, MI 48301 | 2015-12-30 |
| 1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
| 1538406855 | Dynamic Home Health Care Agency | Case Management | 3744 Lincoln Drive, Bloomfield Hills, MI 48301 | 2013-01-07 |
| 1366798373 | A3 Medical | Family Medicine | 4050 Maple Road, Suite 101, Bloomfield Township, MI 48301 | 2012-07-27 |
| 1013299361 | Michael Kovel Samson | Internal Medicine | 4790 Apple Grove Court, Bloomfield Hills, MI 48301 | 2011-09-13 |
| 1376786152 | Pamela Ann Hibbard Timrek | Speech-Language Pathologist | 3816 Lincoln Drive, Bloomfield Township, MI 48301 | 2009-04-09 |
| 1164694584 | Alexandra Krot | Internal Medicine | 169 Bassett Place, Bloomfield Hills, MI 48301 | 2008-03-26 |
| 1619170644 | Latha T Kannan, Md, PC | Internal Medicine | 6715 Birmingham Club Drive, Bloomfield Hills, MI 48301 | 2007-06-07 |
| 1699802975 | Rebeca Urquiola | Dentist | 4220 Surrey Cross, Bloomfield Hills, MI 48301 | 2007-02-27 |
| Find all providers in zip 48301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198897 | Caitlin Reid | Psychologist | 5620 Woodland Pass, Bloomfield Hills, MI 48301-1227 | 2020-09-15 |
| 1568940930 | Darcy Donnelly Phd PC | Psychologist | 39520 Woodward Ave Ste 233, Bloomfield Hills, MI 48304-5059 | 2018-07-30 |
| 1811352230 | Freda B. Lerman, Lpc, Psyd, Lp, Pllc | Psychologist | 6905 Telegraph Road Suite 100, Bloomfield Hills, MI 48301 | 2015-12-30 |
| 1770969628 | Lindsay Najor | Psychologist | 1750 S Telegraph Road, Suite 101, Bloomfield Hills, MI 48302-1777 | 2015-08-03 |
| 1043561921 | Laurene Saad Younis | Psychologist | 43902 Woodward Ave Ste 230, Bloomfield Hills, MI 48302-5022 | 2012-10-02 |
| 1871865535 | Kari Coburn | Psychologist | 1750 S. Telegraph Road, Suite 101, Bloomfield Hills, MI 48302-0177 | 2012-01-27 |
| 1124395363 | John Clinton Flatter | Psychologist | 7 West Square Lake Road, Suite 135, Bloomfield Hills, MI 48302-0462 | 2011-11-16 |
| 1518244953 | Benjamin R Bennett-carpenter | Psychologist | 39221 Woodward Ave, Unit 107, Bloomfield Hills, MI 48304-5162 | 2011-11-14 |
| 1023392677 | Deborah Margaret Snyder | Psychologist | 4960 Ranch Ln, Bloomfield Hills, MI 48302-2448 | 2011-09-30 |
| 1376843938 | Darlene Patricia Sosnick | Psychologist | 4585 Kirkcaldy Rd, Bloomfield Hills, MI 48304-3748 | 2010-10-29 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48301 |
Please comment or provide details below to improve the information on JENNIFER DESCHRYVER.
| 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.