DR. JESSICA ROSE ELLEM PHD
NPI 1043079197
Psychologist - Clinical in Ann Arbor, MI

NPI Status: Active since March 18, 2024

Contact Information

2215 FULLER ROAD
MENTAL HEALTH SERVICE LINE
ANN ARBOR, MI
ZIP 48105
Phone: (734) 769-7100

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  • Individual
  • Female
  • Psychologist
  • Clinical

About JESSICA ELLEM

This page provides the complete NPI Profile along with additional information for Jessica Ellem, a provider established in Ann Arbor, Michigan with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1043079197 assigned on March 2024. The practitioner's primary taxonomy code is 103TC0700X with license number 6351004650 (MI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1043079197
Provider Name
DR. JESSICA ROSE ELLEM PHD
Other Name
JESSICA ROSE WINDER
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2215 FULLER ROAD MENTAL HEALTH SERVICE LINE ANN ARBOR, MI 48105
Location Phone
(734) 769-7100
Mailing Address
7341 WILDERNESS PARK DR APT 303 WESTLAND, MI 48185
Mailing Phone
(813) 468-8621
Is Sole Proprietor?
Yes
Enumeration Date
03-18-2024
Last Update Date
03-18-2024
Code Navigator

A clinical psychologist like Jessica Ellem 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.

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.
6351004650
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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043079197, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 0 → 0 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 0 + 7 + 1 + 8 + 1 + 1 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1043079197.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Internal Medicine
2215 FULLER ROAD
ANN ARBOR, MI 48105
Internal Medicine
2215 FULLER ROAD, DEPARTMENT OF VETERAN AFFAIRS-AMBULATORY CARE (11A)
ANN ARBOR, MI 48105
Physical Therapist
2215 FULLER ROAD
ANN ARBOR, MI 48105
Dietitian, Registered
2215 FULLER ROAD, 30D
ANN ARBOR, MI 48105
Family Medicine (Adult Medicine)
2215 FULLER ROAD, VA ANN ARBOR HOSPITAL
ANN ARBOR, MI 48105
Dentist
2215 FULLER ROAD, ANN ARBOR VA HEALTH CARE SYSTEM (160)
ANN ARBOR, MI 48105
Internal Medicine
2215 FULLER ROAD
ANN ARBOR, MI 48105
Social Worker (Clinical)
2215 FULLER ROAD
ANN ARBOR, MI 48105
Social Worker (Clinical)
2215 FULLER ROAD
ANN ARBOR, MI 48105
Dentist (General Practice)
2215 FULLER ROAD, DENTAL SERVICE 160
ANN ARBOR, MI 48105
Registered Nurse
2215 FULLER ROAD
ANN ARBOR, MI 48105
Registered Nurse
2215 FULLER ROAD, VA ANN ARBOR HEALTHCARE SYSTEM MAIL CODE 111E
ANN ARBOR, MI 48105
Registered Nurse (Gastroenterology)
2215 FULLER ROAD
ANN ARBOR, MI 48105
Dentist
2215 FULLER ROAD, VAMC DENTAL SERVICE (160)
ANN ARBOR, MI 48105
Pharmacist
2215 FULLER ROAD, DB12
ANN ARBOR, MI 48105
Social Worker (Clinical)
2215 FULLER ROAD, SOCIAL WORK SERVICE
ANN ARBOR, MI 48105
Licensed Practical Nurse
2215 FULLER ROAD
ANN ARBOR, MI 48105
Licensed Practical Nurse
2215 FULLER ROAD
ANN ARBOR, MI 48105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043079197, enumerated as an "individual" on March 18, 2024.

The provider is located at 2215 FULLER ROAD MENTAL HEALTH SERVICE LINE ANN ARBOR, MI 48105 and the phone number is (734) 769-7100.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.