Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

W.a. Foote Memorial Hospital, Inc

Organization Clinical Psychologist · NPI 1417494378

W.a. Foote Memorial Hospital, Inc is a Clinical Psychologist in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201
Phone: (517) 841-7843
Fax: (517) 841-7419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1060000044 (MI)

Record details

NPI number1417494378
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHenry Ford Allegiance Health Group
Authorized official Mark Smith — Svp, Cmo, Ceo · (517) 205-6407
Other names Henry Ford Allegiance Health
NPI enumeratedJanuary 30, 2017
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267

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