JILL ANNE MEADE (PHD) – Psychologist, NPI 1407893902

JILL ANNE MEADE (PHD) is a healthcare provider. based in Detroit, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6301009705 (MI). The NPI Number for JILL ANNE MEADE (PHD) is 1407893902

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
JILL ANNE MEADE (PHD)
NPI
1407893902
Phone
(313) 745-4878
Address
UPC CHILDREN'S HOSPITAL
Enumeration Date
1 June 2006
Last Update Date
13 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137454878
Graduation Year
1996 (30 years ago)
PAC ID
1658546551
Group Practice PAC ID
8921289760
Professional Enrollment ID
I20111205000320
Address ID
MI482012153DE4201XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for JILL ANNE MEADE (PHD)

  • UPC CHILDREN'S HOSPITAL

    3901 BEAUBIEN 4TH FLOOR CARLS BLDG

    DETROIT, MI 48201

    Phone: (313) 745-4878

    Type: Location

  • 4201 Saint Antoine St Ste 4B

    Detroit, MI 482012153

    Phone: (313) 745-4878

    Type: Location

  • Stephenson Highway, Troy, Oakland County, Michigan, 48083, United States

    SUITE 400-CREDENTIALING

    TROY, MI 480831189

    Phone: (248) 581-5971

    Fax: (248) 581-5640

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-12-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111205000320IClinical PsychologistMITBD

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.

Verify on CMS Revalidation Lookup Tool

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 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921289760View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Clinical PsychologistMI
Physician AssistantMI
-MI
Diagnostic RadiologyMI
Vascular Surgery, General SurgeryMI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

Can I verify JILL ANNE MEADE (PHD) with an NPI only?
You can start verification with NPI 1407893902 for JILL ANNE MEADE (PHD), then check state licensing separately.
Is JILL ANNE MEADE (PHD) still practicing?
JILL ANNE MEADE (PHD) is currently listed as active in the public NPI registry.
What is JILL ANNE MEADE (PHD)'s primary classification?
Psychologist is the headline specialty for JILL ANNE MEADE (PHD) here. Clinical services aligned with this taxonomy classification.
Where should I expect JILL ANNE MEADE (PHD) on a map?
Expect Detroit, Michigan as a primary anchor for JILL ANNE MEADE (PHD) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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