Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzy Lee Kassab, PA-C

Individual provider Physician Assistant · NPI 1619605722

Mackenzy Lee Kassab, PA-C is a Physician Assistant in Farmington Hills, Michigan. Qualified in 2022, 4 years ago. Practices with Jajo and Jonna Psychiatry PLLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

31393 W 13 Mile Rd Ste 105
Farmington Hills, MI 48334-2232
Phone: (734) 331-6037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011399 (MI)

Record details

NPI number1619605722
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 8, 2022
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jajo And Jonna Psychiatry Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Farmington Hills