DR. ANTHONY EDWARD GENSTERBLUM PHD
NPI 1619255635
Psychologist - Clinical in Jackson, MI

Active since July 25, 2011
505 WILDWOOD AVE, JACKSON, MI 49201(517) 783-4418(517) 783-4504 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony Edward Gensterblum Phd NPPES

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

DR. ANTHONY EDWARD GENSTERBLUM PHD (NPI 1619255635) is an individual clinical provider in Jackson, Michigan, licensed in Michigan (6301011915) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1619255635
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANTHONY EDWARD GENSTERBLUMCredential: PHD
Location Address505 WILDWOOD AVEJackson, MI 49201-1012
Mailing Address505 Wildwood AveJackson, MI 49201-1012 · (517) 783-4418 · Fax (517) 783-4504
Fax(517) 783-4504
Sole ProprietorYes
Enumeration DateJuly 25, 2011
NPI 1619255635 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 · 6301011915
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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801060063 (MI)
505 WILDWOOD AVE, Jackson, MI 49201

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
505 WILDWOOD AVE
JACKSON, MI 49201
Social Worker (Clinical)
505 WILDWOOD AVE
JACKSON, MI 49201
Counselor (Mental Health)
505 WILDWOOD AVE
JACKSON, MI 49201
Social Worker
505 WILDWOOD AVE
JACKSON, MI 49201
Psychologist
505 WILDWOOD AVE, SUITE 301
JACKSON, MI 49201
Social Worker
505 WILDWOOD AVE
JACKSON, MI 49201

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 Anthony Gensterblum's NPI number?

The NPI number for Anthony Gensterblum is 1619255635. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Anthony Gensterblum located?

Anthony Gensterblum practices at 505 Wildwood Ave, Jackson, MI 49201. The listed phone number is (517) 783-4418.

What is Anthony Gensterblum's specialty?

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

When was this NPI record last updated?

The NPPES record for Anthony Gensterblum was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.