DR. JACQUELINE ADELINE MEYERS (PSY.D, LP, LPC, NCC) – Psychologist, NPI 1124006895
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 CLINICAL PSYCHOLOGIST in MI
Provider Addresses for DR. JACQUELINE ADELINE MEYERS (PSY.D, LP, LPC, NCC)
Manchester Boulevard, Grosse Pointe Woods, Wayne County, Michigan, 48225, United States
GROSSE POINTE WOODS, MI 482361920
Phone: (586) 879-9579
Type: Mailing
3247 BIDDLE AVE APT 2
WYANDOTTE, MI 481925951
Phone: (734) 991-3234
Type: Mailing
2955 BIDDLE AVE STE 200
WYANDOTTE, MI 481925231
Phone: (734) 991-3234
Fax: (734) 324-1566
Type: Location
East 11 Mile Road, Royal Oak, Oakland County, Michigan, 48067, United States
ROYAL OAK, MI 480672735
Phone: (248) 336-2868
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160208001656 | I | Clinical Psychologist | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48236)
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