JACQUELINE ANN CISTERNINO CPSS
NPI 1124799739
Peer Specialist in Waterford, MI

Active since September 23, 2021
279 SUMMIT DR, WATERFORD, MI 48328(248) 724-6185 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Ann Cisternino Cpss NPPES

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

JACQUELINE ANN CISTERNINO CPSS (NPI 1124799739) is an individual peer specialist in Waterford, Michigan and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1124799739
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJACQUELINE ANN CISTERNINOCredential: CPSS
Location Address279 SUMMIT DRWaterford, MI 48328-3364
Mailing Address24230 Karim BlvdNovi, MI 48375-2960
Sole ProprietorYes
Enumeration DateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
NPI 1124799739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
279 SUMMIT DR, Waterford, MI 48328

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Exclusive Provider Organization
279 SUMMIT DR
WATERFORD, MI 48328
Registered Nurse (Case Management)
279 SUMMIT DR
WATERFORD, MI 48328
Psychiatry & Neurology (Psychiatry)
279 SUMMIT DR
WATERFORD, MI 48328
Social Worker (Clinical)
279 SUMMIT DR
WATERFORD, MI 48328
Peer Specialist
279 SUMMIT DR
WATERFORD, MI 48328
Case Manager/Care Coordinator
279 SUMMIT DR
WATERFORD, MI 48328
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328

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 Jacqueline Cisternino's NPI number?

The NPI number for Jacqueline Cisternino is 1124799739. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Where is Jacqueline Cisternino located?

Jacqueline Cisternino practices at 279 Summit Dr, Waterford, MI 48328. The listed phone number is (248) 724-6185.

What is Jacqueline Cisternino's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Cisternino was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.