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

Individual provider Psychologist · NPI 1619168572

Jacquelyn Oliphant, PHD is a Clinical Psychologist in Birmingham, Michigan. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2007
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

725 S Adams Rd Ste 241
Birmingham, MI 48009-6902
Phone: (248) 924-2133
Fax: (248) 924-2599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301005964 (MI)

Record details

NPI number1619168572
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 6, 2007
Last updated in NPPESAugust 6, 2007
Mailing address143 Cadycentre, 206, Northville, MI 48167-1119

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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