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Jacquelyn Elyoussef

Technician, Other β€’ Dearborn Heights, MI

Active NPI 1558811331 Individual Practitioner Female Practitioner
Practice location in NPPES

3930 Academy St
Dearborn Heights, MI 48125

Call 3138041888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3930 Academy St

Dearborn Heights, MI 48125

Telephone 3138041888

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dearborn Heights and Michigan

17 active clinicians are listed under Technician, Other with a practice address in Dearborn Heights, MI (3,728 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dearborn Heights

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

License # reported to NPPES MI E421356080673

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 19, 2018

Registered at 3930 ACADEMY ST, DEARBORN HEIGHTS, MI 48125 (Tel: 3138041888)

πŸ“
Updated Business Mailing Address July 19, 2018

Registered at 4501 WOODWARD AVE # 101, DETROIT, MI 482011890

βœ…
NPI Profile Active October 05, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 05, 2016

Registered at 3930 ACADEMY ST, DEARBORN HEIGHTS, MI 481252202 (Tel: 3138041888)

πŸ“
Business Mailing Address (Initial Record) October 05, 2016

Registered at 3930 ACADEMY ST, DEARBORN HEIGHTS, MI 481252202

πŸ‘€
Provider Name / Credentials (Initial Record) October 05, 2016

Recorded as JACQUELYN ELYOUSSEF

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2016

Behavior Technician (license number reported to NPPES: MI E421356080673)

🟒
Initial NPI Registration & Enumeration October 05, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558811331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2016
Last Update: July 19, 2018
Sole Proprietor: No

Mailing Address

4501 Woodward Ave # 101

Detroit, MI 482011890

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.