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Michelle Theresa Jesse

Clinical Psychologist

2799 W Grand Blvd
Detroit , Michigan 48202-2608

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Michelle Theresa Jesse

Clinical Psychologist

2799 W Grand Blvd
Detroit , Michigan 48202-2608

(816) 304-5650

Write a Review Save Call

Michelle Theresa Jesse

Clinical Psychologist

2799 W Grand Blvd
Detroit , Michigan 48202-2608

(816) 304-5650 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist

Languages spoken

  • English

Location

2799 W Grand Blvd Detroit , Michigan 48202-2608

First Address

  • Michelle Theresa Jesse
  • 4602 Mandalay Ave
  • Royal Oak, MI
  • Zip : 48073-1624
  • Phone : (816) 304-5650

Second Address

  • Michelle Theresa Jesse
  • 2799 W Grand Blvd
  • Detroit, MI
  • Zip : 48202-2608
  • Phone : (313) 916-5243

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FAQs


Where did Michelle Theresa Jesse attend graduate school?

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Where did Michelle Theresa Jesse do her residency?

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Where did Michelle Theresa Jesse do her fellowship?

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Is Michelle Theresa Jesse board certified?

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What type of doctor is Michelle Theresa Jesse

Clinical Psychologist

In what state does Michelle Theresa Jesse practice in?

Michigan

Where is Michelle Theresa Jesse ’s practice located?

2799 W Grand Blvd , Detroit, Michigan, 48202-2608

What is Michelle Theresa Jesse ’s gender?

Female

Is Michelle Theresa Jesse a sole practitioner?

No

Is Michelle Theresa Jesse accepting new patients?

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What languages does Michelle Theresa Jesse speak?

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Does Michelle Theresa Jesse accept insurance?

Yes, Michelle Theresa Jesse accepts insurance

Does Michelle Theresa Jesse offers telemedicine?

Michelle Theresa Jesse has not indicated if she offers telemedicine

What is Michelle Theresa Jesse ’s professional license number?

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What is Michelle Theresa Jesse ’s NPI number?

1003253253

Does Michelle Theresa Jesse have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103G00000X Clinical Psychologist 6301014633 MI
Y 103TC0700X Clinical Psychologist 6301014633 MI

National Provider Identifier

NPI 1003253253
Provider Name Michelle Theresa Jesse
First Address Royal Oak, MI 48073-1624
Second Address Detroit, MI 48202-2608
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/05/2013
Last Update Date 12/03/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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