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Jodi Cavanaugh , MS, LLP, CSP

Psychologist β€’ Flint, MI

Active NPI 1821115049 Individual Practitioner Female Practitioner
Practice location in NPPES

1057 E Coldwater Rd
Flint, MI 485051501

Call 8102874928 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

1057 E Coldwater Rd

Flint, MI 485051501

Telephone 8102874928
Fax 8102571310
Organization at the Same NPPES Address or Phone
Genesee Health System Facility NPI 1043554348

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

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 Flint and Michigan

47 active clinicians are listed under Psychologist with a practice address in Flint, MI (2,549 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Flint

6.4% of these 47 clinicians have the CMS telehealth indicator.

6.4% of these 47 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

Self-certified to NPPES: 2025-01-16
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MI 6361000458

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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

16 Historical Events
πŸ“
Updated Practice Location January 16, 2025

Registered at 1057 E COLDWATER RD, FLINT, MI 485051501 (Tel: 8102874928)

πŸ“
Updated Business Mailing Address January 16, 2025

Registered at 1040 W BRISTOL RD, FLINT, MI 485075516 (Tel: 8102874928)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2025

Psychologist (license number reported to NPPES: MI 6361000458)

πŸ“
Updated Practice Location January 11, 2019

Registered at 420 W. 5TH AVENUE, FLINT, MI 48503 (Tel: 8102573705)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2019

Psychologist (license number reported to NPPES: MI 6301010669)

βœ…
NPI Profile Active December 08, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 08, 2017

Registered at 2700 ROBERT T LONGWAY BLVD, SUITE 1, FLINT, MI 485032190 (Tel: 8102391975)

πŸ“
Updated Business Mailing Address December 08, 2017

Registered at 1085 S LINDEN RD, SUITE 150, FLINT, MI 485323421 (Tel: (810) 732-3240)

πŸ‘€
Provider Name / Credentials Updated December 08, 2017

Recorded as JODI CAVANAUGH, M.S., LLP, CSP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2017

Counselor

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 2700 ROBERT T LONGWAY BLVD, SUITE 1, FLINT, MI 485032190 (Tel: 8102391975)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 1085 S LINDEN RD, SUITE 150, FLINT, MI 485323421 (Tel: 8107323240)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JODI CAVANAUGH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (license number reported to NPPES: MI 6301010669)

🟒
Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821115049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: January 16, 2025
Sole Proprietor: No

Other Psychologists in Flint

Healthcare providers in Flint

Mailing Address

1040 W Bristol Rd

Flint, MI 485075516

Phone: 8102874928

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.