JENNIFER L. JENKS (NPI# 1215980057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215980057 |
Entity Type | Individual |
Full Name | JENNIFER L. JENKS |
Credential | MD |
Practice Address |
410 Sunset Rd Ann Arbor MI 48103-2915 |
Mailing Address |
4468 Augusta Ct Ann Arbor MI 48108-9789 |
Practice Telephone | 7345316933 |
Practice Fax Number | 7345062491 |
Mailing Telephone | 6175135859 |
Mailing Fax Number | 7345062491 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2015-03-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
219148 | MA | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
219148 | MA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154873792 | Jennifer Lee Jenks | Licensed Practical Nurse | 2833 Tepee Ave, Independence, MO 64057-1642 | 2016-10-31 |
1649771577 | Jennifer Jenks | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2018-02-26 |
1003219627 | Jennifer Elana Jenks | Social Worker | 5210 Main St, Skokie, IL 60077-2158 | 2014-09-28 |
1053663583 | Jennifer Lynn Jenks | Massage Therapist | 1624 Us Highway 395 N, #1, Minden, NV 89423-4326 | 2012-10-08 |
1073792792 | Jennifer Lynne Jenks | Nurse Practitioner | 21785 Filigree Court, Suite 201, Ashburn, VA 20147 | 2007-10-30 |
Street Address |
410 SUNSET RD |
City | ANN ARBOR |
State | MI |
Zip Code | 48103-2915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811389687 | Shoshana Olson | Social Worker | 410 Sunset Rd, Ann Arbor, MI 48103-2915 | 2015-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
Find all providers in zip 48103 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992951693 | Saadia Nosheen | Psychiatry & Neurology | 4250 Plymouth Rd Spc 5766, University of Michigan, Department of Psychiatry, Ann Arbor, MI 48109-2700 | 2008-08-13 |
1396760633 | Ellen Smith Grosh | Psychiatry & Neurology | 2020 Hogback Rd Ste 15, Ann Arbor, MI 48105-9752 | 2006-07-13 |
1740525765 | Bassem H Krayem | Psychiatry & Neurology | 4250 Plymouth Rd, Rm 1239, Ann Arbor, MI 48109-2700 | 2012-12-03 |
1972829174 | Robert Sain | Psychiatry & Neurology | 3300 Washtenaw Ave, Suite 275, Ann Arbor, MI 48104-4200 | 2010-04-13 |
1861723215 | Sushma Gunturu | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2010-01-25 |
1376799403 | Sneha Sastry | Psychiatry & Neurology | 2750 S State St, Ann Arbor, MI 48104-6179 | 2008-08-08 |
1285744359 | Harvey H. Falit, M.d., P.C. | Psychiatry & Neurology | 505 E Huron St, Suite # 305 A, Ann Arbor, MI 48104-1573 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316376056 | Esmaeil Emami | Psychiatry & Neurology | 2955 Franklin Rd, Bloomfield Hills, MI 48302-0917 | 2013-11-04 |
1154760312 | Samantha Fugate Kennedy | Psychiatry & Neurology | 909 Fee Rd Ste B119, East Lansing, MI 48824 | 2013-06-21 |
1407199961 | David Donald Krohn | Psychiatry & Neurology | 563 Highland Park Dr, Traverse City, MI 49686-2863 | 2013-04-03 |
1164712055 | Tatjana Maric | Psychiatry & Neurology | 420 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 | 2011-04-12 |
1972893824 | Katherine Barbara Krive | Psychiatry & Neurology | 801 S Waverly Rd Ste 100, Lansing, MI 48917-4200 | 2011-04-12 |
1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
1295056653 | Veronica Yap Tan | Psychiatry & Neurology | 23354 Portage Way, Apt. 2212, Novi, MI 48375 | 2010-06-18 |
1548588874 | Katie Alanna Keller | Psychiatry & Neurology | 79 Alexandrine West, Detroit, MI 48201 | 2010-05-11 |
1538390133 | Behavioral Health Associates Pllc | Psychiatry & Neurology | 19500 Middlebelt Rd, Suite 350e, Livonia, MI 48152-2196 | 2009-07-30 |
1235375775 | Kristine Baker | Psychiatry & Neurology | 721 Cherokee St, Traverse City, MI 49684-1401 | 2009-01-06 |
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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.