AMY JAK PHD
NPI 1326103771
Psychologist - Clinical in Ann Arbor, MI

Active since December 26, 2006PECOS EnrolledAccepts Medicare Assignment
325 E EISENHOWER PKWY, ANN ARBOR, MI 48108(734) 936-7175 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Amy Jak Phd NPPES

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

AMY JAK PHD (NPI 1326103771) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301019762) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Jolla, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1326103771
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAMY JAKCredential: PHD
Location Address325 E EISENHOWER PKWYAnn Arbor, MI 48108-3364
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 26, 2006
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1326103771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301019762
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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 21113 (CA)
325 E EISENHOWER PKWY, Ann Arbor, MI 48108

Other Names 1

Former Name (1)Amy Wise

Secondary Practice Location 1

Location 1UCSD Neuropsychological Associates, 9500 Gilman Dr. (0603)La Jolla, CA 92037-0603 · Phone (858) 822-5791

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amy Jak Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850487711
PECOS Enrollment IDI20260506001286
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physical Medicine & Rehabilitation (Pain Medicine)
325 E EISENHOWER PKWY
ANN ARBOR, MI 48108
Physician Assistant
325 E EISENHOWER PKWY, SUITE 100
ANN ARBOR, MI 48108
Physical Therapist
325 E EISENHOWER PKWY
ANN ARBOR, MI 48108
Psychologist (Clinical)
325 E EISENHOWER PKWY, SUITE 100
ANN ARBOR, MI 48108
Physical Therapist (Orthopedic)
325 E EISENHOWER PKWY
ANN ARBOR, MI 48108
Clinic/Center (Physical Therapy)
325 E EISENHOWER PKWY, SECOND FLOOR
ANN ARBOR, MI 48108
Occupational Therapist
325 E EISENHOWER PKWY
ANN ARBOR, MI 48108
Student in an Organized Health Care Education/Training Program
325 E EISENHOWER PKWY
ANN ARBOR, MI 48108

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 Amy Jak's NPI number?

The NPI number for Amy Jak is 1326103771. It was assigned to this individual provider in the NPPES registry on December 26, 2006. The provider is also known as Amy Wise.

Where is Amy Jak located?

Amy Jak practices at 325 E Eisenhower Pkwy, Ann Arbor, MI 48108. The listed phone number is (734) 936-7175.

What is Amy Jak's specialty?

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

Is Amy Jak enrolled in Medicare?

Yes. Amy Jak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amy Jak was last updated on April 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.