DR. JEREL EUGENE DELDOTTO PHD
NPI 1124085816
Psychologist in Clinton Township, MI

Active since April 27, 2006PECOS Enrolled
79.84/100
CMS Quality Rating
36405 HARPER AVE, CLINTON TOWNSHIP, MI 48035(586) 791-6060(586) 791-8211 Get Directions Write a Review

NPPES record last updated: March 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerel Eugene Deldotto Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREL EUGENE DELDOTTO PHD (NPI 1124085816) is an individual psychologist in Clinton Township, Michigan, licensed in Michigan (6301005951) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124085816
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JEREL EUGENE DELDOTTOCredential: PHD
Location Address36405 HARPER AVEClinton Township, MI 48035-2957
Mailing Address36405 Harper AveClinton Township, MI 48035-2957 · (586) 791-6060 · Fax (586) 791-8211
Fax(586) 791-8211
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateMarch 15, 2010
NPI 1124085816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301005951
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
36405 HARPER AVE, Clinton Township, MI 48035

Other Identifiers 3

Other620005726MI · Rr Medicare
Medicare UPINR91222MI
Medicare ID-Type UnspecifiedM74240003MI · Wa Foote Memorial

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jerel Eugene Deldotto Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.99
Promoting Interoperability100
Improvement Activities40
Cost60.82

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
36405 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Counselor (Professional)
36405 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Psychologist (Clinical)
36405 HARPER AVE
CLINTON TWP, MI 48035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerel Deldotto's NPI number?

The NPI number for Jerel Deldotto is 1124085816. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Jerel Deldotto located?

Jerel Deldotto practices at 36405 Harper Ave, Clinton Township, MI 48035. The listed phone number is (586) 791-6060.

What is Jerel Deldotto's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jerel Deldotto enrolled in Medicare?

Yes. Jerel Deldotto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerel Deldotto was last updated on March 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.