DR. JENNIFER HANAWALT PHD
NPI 1386999472
Psychologist - Clinical in Troy, MI

Active since July 16, 2012PECOS EnrolledAccepts Medicare Assignment
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084(248) 646-6659(248) 642-8645 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jennifer Hanawalt Phd NPPES

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

DR. JENNIFER HANAWALT PHD (NPI 1386999472) is an individual clinical provider in Troy, Michigan, licensed in Michigan (6301015459) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386999472
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER HANAWALTCredential: PHD
Location Address2075 W BIG BEAVER RD, SUITE 520Troy, MI 48084-3407
Mailing Address2075 W Big Beaver Rd, Suite 520Troy, MI 48084-3407 · (248) 646-6659 · Fax (248) 642-8645
Fax(248) 642-8645
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 16, 2012
Last NPPES UpdateApril 2, 2013
NPI 1386999472 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 · 6301015459
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.
2075 W BIG BEAVER RD, Troy, MI 48084

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

Dr. Jennifer Hanawalt 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 ID6608222567
PECOS Enrollment IDI20231028000306
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 48084 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.

Marriage & Family Therapist
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Marriage & Family Therapist
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Psychologist
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Social Worker (Clinical)
2075 W BIG BEAVER RD
TROY, MI 48084
Specialist/Technologist (Athletic Trainer)
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Psychologist (Clinical)
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Physical Therapist
2075 W BIG BEAVER RD
TROY, MI 48084
Social Worker (Clinical)
2075 W BIG BEAVER RD
TROY, MI 48084

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 Jennifer Hanawalt's NPI number?

The NPI number for Jennifer Hanawalt is 1386999472. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Jennifer Hanawalt located?

Jennifer Hanawalt practices at 2075 W Big Beaver Rd Suite 520, Troy, MI 48084. The listed phone number is (248) 646-6659.

What is Jennifer Hanawalt's specialty?

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

Is Jennifer Hanawalt enrolled in Medicare?

Yes. Jennifer Hanawalt 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 Jennifer Hanawalt was last updated on April 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.