What is Mercedese Jack's NPI number?

Mercedese Jack's National Provider Identifier (NPI) is 1780565002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mercedese Jack's specialty?

Mercedese Jack is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Mercedese Jack located?

Mercedese Jack's practice location on file with NPPES is 3290 W Big Beaver Rd Ste 510, Troy, MI 48084-2917.

What is Mercedese Jack's phone number?

The practice phone number listed in the NPPES registry for Mercedese Jack is (586) 404-9400.

Is Mercedese Jack's NPI active?

Yes — Mercedese Jack's NPI (1780565002) is active in the NPPES registry as of the last update on 2025-09-11.

IndividualActive

Mercedese Jack

NPI 1780565002 · Behavior Technician · Troy, MI

Mercedese Jack is a Behavior Technician provider in Troy, MI (NPI 1780565002).

Provider details

NPI number: 1780565002
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3290 W Big Beaver Rd Ste 510

Troy, MI 48084-2917

Phone: (586) 404-9400

Street-level locationGet directions

More MI providers

Mailing address