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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

W.A. FOOTE MEMORIAL HOSPITAL
NPI 1417494378
Psychologist - Clinical in Jackson, MI

Active since January 30, 2017
205 N. EAST AVE, JACKSON, MI 49201(517) 841-7843(517) 841-7419 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 15, 2026, Mar 6, 2024, Mar 2, 2017 and 1 more (4 updates tracked since 2017).

About W.a. Foote Memorial Hospital NPPES

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

W.A. FOOTE MEMORIAL HOSPITAL (NPI 1417494378), doing business as Henry Ford Allegiance Health, is a healthcare organization registered as a clinical in Jackson, Michigan and active in the NPI registry since January 2017. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1417494378
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameW.A. FOOTE MEMORIAL HOSPITAL
Location Address205 N. EAST AVEJackson, MI 49201
Mailing AddressPo Box 670884Detroit, MI 48267-0002 · (800) 999-5829 · Fax (248) 641-4840
Phone(517) 841-7843
Fax(517) 841-7419
Organization SubpartNo
Authorized OfficialKimberly CebaltDirector · (313) 874-6764
Enumeration DateJanuary 30, 2017
Last NPPES UpdateOctober 22, 20264 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1417494378 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 · 1060000044
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.
205 N. EAST AVE, Jackson, MI 49201
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Other Names 2

Doing Business AsHenry Ford Allegiance Health
Doing Business AsHenry Ford Jackson Health

Other Identifiers 1

Medicaid1326078866MI

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

W.a. Foote Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to W.A. Foote Memorial Hospital, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (13)

Emily Stewart Stevens, PSYD, MA
Clinical Psychologist
NPI 1689744302
1201 E MICHIGAN AVE STE 200
Jackson, MI 49201
(517) 204-4841
✔ PECOS✔ Accepts Medicare9.8 mi
Mitchell Weisbrod, PSY.D.
Clinical Psychologist
NPI 1629141007
437 FERN AVE STE C
Jackson, MI 49202
(989) 292-3592
✔ PECOS✔ Accepts Medicare12 mi
Angela Chapman
Clinical Psychologist
NPI 1184835704
2010 HOGBACK RD SUITE 7B
Ann Arbor, MI 48105
(734) 250-1157
✔ PECOS✔ Accepts Medicare27 mi
Jennifer Huffman, PHD
Clinical Psychologist
NPI 1508819699
4572 S HAGADORN RD SUITE 2G
East Lansing, MI 48823
(517) 337-9554
✔ PECOS✔ Accepts Medicare35 mi
Michael Czarnota, PH.D.
Clinical Psychologist
NPI 1699884429
30055 NORTHWESTERN HWY SUITE 30
Farmington Hills, MI 48334
(248) 253-8208
✔ PECOS✔ Accepts Medicare48 mi
Olga Slavin-Spenny, PH.D.
Clinical Psychologist
NPI 1578839585
25900 GREENFIELD RD STE 502
Oak Park, MI 48237
(248) 849-0050
✔ PECOS✔ Accepts Medicare53 mi
Taisel Losada, PSY.D.
Clinical Psychologist
NPI 1902397649
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts Medicare58 mi
Marwa Ahmed, PSYD
Clinical Psychologist
NPI 1881313377
2799 W GRAND BLVD
Detroit, MI 48202
(800) 653-6568
✔ PECOS✔ Accepts Medicare58 mi
Michael Ryan, PSY D
Clinical Psychologist
NPI 1972882009
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2523
✔ PECOS✔ Accepts Medicare58 mi
Amy Williams, PHD
Clinical Psychologist
NPI 1922441856
2799 W GRAND BLVD K-8 OTOLARYNGOLOGY HENRY FORD HOSPITAL,
Detroit, MI 48202
(313) 461-1087
✔ PECOS✔ Accepts Medicare58 mi
Aaron Hamann, PSYD
Clinical Psychologist
NPI 1083952824
1 FORD PL
Detroit, MI 48202
(313) 916-8275
✔ PECOS✔ Accepts Medicare58 mi
Kellie Martens
Clinical Psychologist
NPI 1780107029
1 FORD PL
Detroit, MI 48202
(843) 725-9803
✔ PECOS✔ Accepts Medicare58 mi
Kelly Bryce, PHD
Clinical Psychologist
NPI 1538594692
4646 JOHN R ST
Detroit, MI 48201
(313) 576-3085
✔ PECOS✔ Accepts Medicare63 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 W.A. Foote Memorial Hospital's NPI number?

The NPI number for W.A. Foote Memorial Hospital is 1417494378. It was assigned to this organization in the NPPES registry on January 30, 2017. The provider is doing business as Henry Ford Allegiance Health and Henry Ford Jackson Health.

Where is W.A. Foote Memorial Hospital located?

W.A. Foote Memorial Hospital is located at 205 N. East Ave, Jackson, MI 49201. The listed phone number is (517) 841-7843.

What is W.A. Foote Memorial Hospital's specialty?

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

Is W.A. Foote Memorial Hospital enrolled in Medicare?

Yes. W.A. Foote Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through W.A. Foote Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Clinical Psychologist, reassign their Medicare billing to W.A. Foote Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does W.A. Foote Memorial Hospital accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list W.A. Foote Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for W.A. Foote Memorial Hospital was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.