IndividualActive
Jamie Mcgillivary, MS, LLP, BCBA
NPI 1467649061 · Clinical Child & Adolescent Psychologist · Berkley, MI
Provider details
- NPI number
- 1467649061
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- MS, LLP, BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 6301011704 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1695 W 12 Mile Rd
120
Berkley, MI 48072-2182
Phone: (248) 691-4774
Fax: (248) 691-8129
Approximate (ZIP-level) locationGet directions
Mailing address
1695 W 12 Mile Rd
Berkley, MI 48072-2182
Registry dates
- Enumerated
- 2007-09-27
- Last updated
- 2012-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.