DR. EMILY RUTH JERNBERG PH. D.
NPI 1871590117
Psychologist - Clinical in Rochester Hills, MI

Q: What is Emily Jernberg's NPI number?

The NPI number for Emily Jernberg is 1871590117. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Q: What is Emily Jernberg's specialty?

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

Q: Is Emily Jernberg enrolled in Medicare?

No. Emily Jernberg has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Emily Jernberg was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 01, 2005Opted out of Medicare · through Oct 1, 2026

1460 WALTON BLVD, #202, ROCHESTER HILLS, MI 48309(248) 505-4161(248) 601-9991 Get Directions Write a Review

NPPES record last updated: May 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Emily Ruth Jernberg Ph. D. NPPES

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

DR. EMILY RUTH JERNBERG PH. D. (NPI 1871590117) is an individual clinical provider in Rochester Hills, Michigan, licensed in Michigan (6301008691) and active in the NPI registry since July 2005. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1871590117

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. EMILY RUTH JERNBERGCredential: PH. D.

Location Address1460 WALTON BLVD, #202Rochester Hills, MI 48309-1768

Mailing Address1460 Walton Blvd, #202Rochester Hills, MI 48309-1768 · (248) 505-4161 · Fax (248) 601-9991

Phone(248) 505-4161

Fax(248) 601-9991

Sole ProprietorYes

Enumeration DateJuly 1, 2005

Last NPPES UpdateMay 8, 2012

✔ NPI 1871590117 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 · 6301008691

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.

1460 WALTON BLVD, Rochester Hills, MI 48309

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Other Identifiers 1

Medicare PINMI3959MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Emily Ruth Jernberg Ph. D. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

DANIELLE R ZIPAY LLPC

Counselor (Professional)

1460 WALTON BLVD, SUITE 218
ROCHESTER HILLS, MI 48309

Oakland County (810) 278-2620

BENJAMIN MORROW LLPC

Counselor (Mental Health)

1460 WALTON BLVD
ROCHESTER HILLS, MI 48309

Oakland County (248) 608-4514

MARISA MARIE VILLAFRANCA LLMSW

Social Worker (Clinical)

1460 WALTON BLVD
ROCHESTER HILLS, MI 48309

Oakland County (248) 844-6234

JULIANA MISSINNE FOSS LLPC

Counselor

1460 WALTON BLVD, SUITE 20
ROCHESTER HILLS, MI 48309

Oakland County (248) 608-4514

BRIAN A WEEKS PSYD

Psychologist (Clinical)

1460 WALTON BLVD, 202
ROCHESTER HILLS, MI 48309

Oakland County (248) 650-5113

DR. MICHAEL DAVID YUEN D.D.S.

Dentist (Endodontics)

1460 WALTON BLVD, SUITE 208
ROCHESTER HILLS, MI 48309

Oakland County (248) 656-1626

PAUL A RENKE DDS

Oral & Maxillofacial Surgery

1460 WALTON BLVD, STE 10
ROCHESTER HILLS, MI 48309

Oakland County (248) 651-4202

DR. DONALD P OHLSSON DDS

Dentist

1460 WALTON BLVD, SUITE 204
ROCHESTER, MI 48309

Oakland County (248) 651-1613

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 Emily Jernberg's NPI number?

The NPI number for Emily Jernberg is 1871590117. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Emily Jernberg located?

Emily Jernberg practices at 1460 Walton Blvd #202, Rochester Hills, MI 48309. The listed phone number is (248) 505-4161.

What is Emily Jernberg's specialty?

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

Is Emily Jernberg enrolled in Medicare?

No. Emily Jernberg has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Emily Jernberg was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.