DR. EMILY RUTH JERNBERG PH. D.
NPI 1871590117
Psychologist - Clinical in Rochester Hills, MI
NPI Status: Active since July 01, 2005
Contact Information
1460 WALTON BLVD
#202
ROCHESTER HILLS, MI
ZIP 48309
Phone: (248) 505-4161
Fax: (248) 601-9991
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About EMILY JERNBERG
This page provides the complete NPI Profile along with additional information for Emily Jernberg, a provider established in Rochester Hills, Michigan with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1871590117 assigned on July 2005. The practitioner's primary taxonomy code is 103TC0700X with license number 6301008691 (MI). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1871590117
- Provider Name
- DR. EMILY RUTH JERNBERG PH. D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1460 WALTON BLVD #202 ROCHESTER HILLS, MI 48309
- Location Phone
- (248) 505-4161
- Location Fax
- (248) 601-9991
- Mailing Address
- 1460 WALTON BLVD #202 ROCHESTER HILLS, MI 48309
- Mailing Phone
- (248) 505-4161
- Mailing Fax
- (248) 601-9991
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-01-2005
- Last Update Date
- 05-08-2012
- Code Navigator
A clinical psychologist like Emily Jernberg assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Emily Jernberg opted out of Medicare effective on 10-01-2022 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6301008691
- License State
- MI
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| MI3959 | MEDICARE PIN (08) | MI |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2022
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? No
Reviews for DR. EMILY RUTH JERNBERG PH. D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 7 | 1 | 5 | 9 | 0 | 1 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 10 | 9 | 0 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 1 + 0 + 9 + 0 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1871590117 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073518866 | DR. MICHAEL STEWART SALTER DPM Individual | Podiatrist (Foot & Ankle Surgery) | 1460 WALTON BLVD STE 60 ROCHESTER HILLS, MI 48309 (248) 651-0653 |
| 1861471799 | DR. RONALD PATRICK HERBST D.D.S. Individual | Dentist (General Practice) | 1460 WALTON BLVD SUITE #205 ROCHESTER HILLS, MI 48309 (248) 651-0897 |
| 1609816644 | DR. MICHAEL GLASS D.D.S. Individual | Dentist (Endodontics) | 1460 WALTON BLVD SUITE 208 ROCHESTER HILLS, MI 48309 (284) 656-1626 |
| 1124053376 | DR. DONALD P OHLSSON DDS Individual | Dentist | 1460 WALTON BLVD SUITE 204 ROCHESTER, MI 48309 (248) 651-1613 |
| 1295743805 | KENNETH J BONK DDS Individual | Oral & Maxillofacial Surgery | 1460 WALTON BLVD STE 10 ROCHESTER HILLS, MI 48309 (248) 651-4202 |
| 1114935632 | PAUL A RENKE DDS Individual | Oral & Maxillofacial Surgery | 1460 WALTON BLVD STE 10 ROCHESTER HILLS, MI 48309 (248) 651-4202 |
| 1295747426 | DR. JAMES BARTUNEK M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1460 WALTON BLVD SUITE 215 ROCHESTER HILLS, MI 48309 (248) 651-7729 |
| 1942310792 | DR. JENNIFER LYNNE BELT PSYD Individual | Psychologist (Clinical) | 1460 WALTON BLVD SUITE 218 ROCHESTER HILLS, MI 48309 (586) 873-6029 |
| 1265532998 | MRS. SUSAN HAWKINS BOYER MA LPC Individual | Counselor (Professional) | 1460 WALTON BLVD SUITE 202 ROCHESTER HILLS, MI 48309 (248) 613-9090 |
| 1255432464 | DR. STEPHEN ERIC BREUNING PH.D. Individual | Psychologist | 1460 WALTON BLVD STE 202 ROCHESTER HILLS, MI 48309 (248) 601-9990 |
| 1871685479 | MERIDITH LYNN MILLER PH.D. Individual | Psychologist (Clinical) | 1460 WALTON BLVD SUITE 200 ROCHESTER HILLS, MI 48309 (248) 608-6800 |
| 1558456095 | DR. FRANKLYN EDWARD RICE PH.D. Individual | Psychologist | 1460 WALTON BLVD SUITE 101 ROCHESTER HILLS, MI 48309 (248) 652-1303 |
| 1801973243 | DR. JOHN WILLIAM JOHR D.C. Individual | Chiropractor | 1460 WALTON BLVD SUITE 100 ROCHESTER HILLS, MI 48309 (248) 601-8843 |
| 1720166762 | MICHAEL S SALTER DPM PC Organization | Podiatrist (Foot & Ankle Surgery) | 1460 WALTON BLVD SUITE 60 ROCHESTER HILLS, MI 48309 (248) 651-0653 |
| 1235209230 | JOHR FAMILY CHIROPRACTIC , PLLC Organization | Chiropractor | 1460 WALTON BLVD SUITE 100 ROCHESTER HILLS, MI 48309 (248) 601-8843 |
| 1396897450 | SUSAN K. STACKPOOLE LMSW, CSW, BCD Individual | Social Worker (Clinical) | 1460 WALTON BLVD SUITE 202 ROCHESTER HILLS, MI 48309 (248) 601-9990 |
| 1316069081 | DR. ROBERT S FINK PH.D. Individual | Psychologist | 1460 WALTON BLVD SUITE 101 ROCHESTER HILLS, MI 48309 (248) 652-1303 |
| 1104949593 | DR. MICHAEL DAVID YUEN D.D.S. Individual | Dentist (Endodontics) | 1460 WALTON BLVD SUITE 208 ROCHESTER HILLS, MI 48309 (248) 656-1626 |
| 1568686509 | DR. RALPH JAMES SCHILLACE PH.D. Individual | Physical Medicine & Rehabilitation | 1460 WALTON BLVD SUITE 101 ROCHESTER HILLS, MI 48309 (248) 652-1303 |
| 1750573721 | TISA K TESTAI DO.,PC Organization | Internal Medicine | 1460 WALTON BLVD SUITE 206 ROCHESTER HILLS, MI 48309 (248) 651-9700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871590117, enumerated in the NPI registry as an "individual" on July 01, 2005
The provider is located at 1460 Walton Blvd #202 Rochester Hills, Mi 48309 and the phone number is (248) 505-4161
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on October 01, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2026.
This NPI record was last updated on July 01, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.