JENNIFER A PENDER PHD
NPI 1356388912
Clinical Neuropsychologist in Detroit, MI

Q: What is Jennifer Pender's NPI number?

The NPI number for Jennifer Pender is 1356388912. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Jennifer Pender's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Pender was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 01, 2006

4646 JOHN R ST, SUITE 702, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jennifer A Pender Phd NPPES

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

JENNIFER A PENDER PHD (NPI 1356388912) is an individual clinical neuropsychologist in Detroit, Michigan, licensed in Michigan (6301010162) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1356388912

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameJENNIFER A PENDERCredential: PHD

Location Address4646 JOHN R ST, SUITE 702Detroit, MI 48201-1916

Mailing Address4646 John R St, Suite 702Detroit, MI 48201-1916 · (313) 576-1000

Phone(313) 576-1000

Sole ProprietorNo

Enumeration DateJune 1, 2006

Last NPPES UpdateMay 6, 2025

NPPES CertifiedMay 6, 2025

✔ NPI 1356388912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MI · 6301010162

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 6301010162 (MI)

4646 JOHN R ST, Detroit, MI 48201

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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.

DR. YURIJ CHERSTYLO

Student in an Organized Health Care Education/Training Program