MRS. JACKIE SUZANNE SHPAK
NPI 1255760195
Psychologist - Clinical in Farmington Hills, MI

Q: What is Jackie Shpak's NPI number?

The NPI number for Jackie Shpak is 1255760195. It was assigned to this individual provider in the NPPES registry on November 1, 2013. The provider is also known as Jackie Suzanne Oberdorf.

Q: What is Jackie Shpak's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Shpak was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since November 01, 2013

31275 NORTHWESTERN HWY STE 203, FARMINGTON HILLS, MI 48334(313) 583-7422 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2026, Jan 16, 2020 (2 updates tracked since 2020).

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About Mrs. Jackie Suzanne Shpak NPPES

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

MRS. JACKIE SUZANNE SHPAK (NPI 1255760195) is an individual clinical provider in Farmington Hills, Michigan, licensed in Michigan (6301013869) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1255760195

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMRS. JACKIE SUZANNE SHPAK

Location Address31275 NORTHWESTERN HWY STE 203Farmington Hills, MI 48334-2579

Mailing Address31275 Northwestern Hwy Ste 203Farmington Hills, MI 48334-2579 · (313) 583-7422

Phone(313) 583-7422

Sole ProprietorYes

Enumeration DateNovember 1, 2013

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1255760195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301013869

Definition

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.

31275 NORTHWESTERN HWY STE 203, Farmington Hills, MI 48334

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Other Names 1

Former Name (1)Jackie Suzanne Oberdorf

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Other Providers at the Same Location NPPES 13

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

DASIANAY NI'KEYA WARD

Social Worker (Clinical)