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MR. RICKY LEE JENTONS MALLP
NPI 1922297076
Psychologist - Clinical in Dearborn, MI

Active since October 15, 2007
18181 OAKWOOD BLVD, 311, DEARBORN, MI 48124(313) 271-8170(313) 271-8353 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Ricky Lee Jentons Mallp NPPES

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

MR. RICKY LEE JENTONS MALLP (NPI 1922297076) is an individual clinical provider in Dearborn, Michigan, licensed in Michigan (6301005971) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1922297076
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. RICKY LEE JENTONSCredential: MALLP
Location Address18181 OAKWOOD BLVD, 311Dearborn, MI 48124-5032
Mailing Address18181 Oakwood Blvd, 311Dearborn, MI 48124-5032 · (313) 271-8170 · Fax (313) 271-8353
Phone(313) 271-8170
Fax(313) 271-8353
Sole ProprietorYes
Enumeration DateOctober 15, 2007
Last NPPES UpdateMay 20, 2008
✔ NPI 1922297076 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 · 6301005971
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 ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 6301005971 (MI)
18181 OAKWOOD BLVD, Dearborn, MI 48124
Open in Google Maps ↗

Other Identifiers 2

Other6301005971MI · License
Other0N15280MI · Apex Behavioral Health P.l.l.c. Medicare Group Pin No.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ricky Lee Jentons Mallp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ricky Jentons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Victor M. Cruz MD, P.C.
13 mi
Psychiatry
17177 N LAUREL PARK DR, SUITE 131
Livonia, MI 48152
  • Reassigned Medicare billing, Michigan enrollment
  • 52 clinicians in this Medicare group
NPI 1023036514 (734) 462-3210

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

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. DEBORA ANN KACZYNSKI M.D.
Anesthesiology
18181 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 593-1573
METROPOLITAN ANESTHESIA, P.C.
Anesthesiology
18181 OAKWOOD BLVD, SUITE 206
DEARBORN, MI 48124
Wayne County (313) 593-1573
ADEEB M ATASSI M.D.
Internal Medicine (Critical Care Medicine)
18181 OAKWOOD BLVD, SUITE NUMBER 208
DEARBORN, MI 48124
Wayne County (313) 563-3332
DR. LISA MICHELLE TYRA SORANNO D.O.
Anesthesiology
18181 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 982-5159
MEREDITH ANN HALLORAN PA-C
Physician Assistant
18181 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 551-3745
MARIA F HAYES MD
Obstetrics & Gynecology (Reproductive Endocrinology)
18181 OAKWOOD BLVD, STE 109
DEARBORN, MI 48124
Wayne County (313) 299-6650
THOMAS S. SIEGEL, M.D.P.C.
Surgery (Vascular Surgery)
18181 OAKWOOD BLVD, SUITE 307
DEARBORN, MI 48124
Wayne County (313) 593-0810
MIHAELA A. LUPU MD
Internal Medicine
18181 OAKWOOD BLVD, STE 208
DEARBORN, MI 48124
Wayne County (313) 271-5670

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 Ricky Jentons's NPI number?

The NPI number for Ricky Jentons is 1922297076. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Where is Ricky Jentons located?

Ricky Jentons practices at 18181 Oakwood Blvd 311, Dearborn, MI 48124. The listed phone number is (313) 271-8170.

What is Ricky Jentons's specialty?

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

Is Ricky Jentons enrolled in Medicare?

Yes. Ricky Jentons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ricky Jentons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricky Jentons reassigns Medicare benefits to Victor M. Cruz MD, P.C. (Livonia, MI). The 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 Ricky Jentons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricky Jentons accept?

Health plans from Priority Health list Ricky Jentons 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 Ricky Jentons was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.