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

Dr. Jennifer Hanawalt, PHD

Individual provider Clinical Psychologist · NPI 1386999472

Dr. Jennifer Hanawalt, PHD is a Clinical Psychologist in Troy, Michigan. Qualified in 2014, 12 years ago. Practices with Birmingham Maple Clinic, a 14-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3407
Phone: (248) 646-6659
Fax: (248) 642-8645
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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 6301015459 (MI)

Record details

NPI number1386999472
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 16, 2012
Last updated in NPPESApril 2, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Birmingham Maple Clinic — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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