MR. RICKY LEE JENTONS MALLP NPI 1922297076

NPI Information

  • NPI: 1922297076
  • Provider Name: MR. RICKY LEE JENTONS, MALLP
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 18181 OAKWOOD BLVD
    311
    DEARBORN, MI
    ZIP 48124
  • Phone: (313) 271-8170

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NPI Details

MR. Ricky Lee Jentons, MALLP is a clinical psychologist in Dearborn, MI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MR. Ricky Lee Jentons, MALLP NPI is 1922297076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18181 OAKWOOD BLVD
311
DEARBORN, MI
ZIP 48124-032
Phone: (313) 271-8170
Fax: (313) 271-8353

The enumeration date for this NPI number is 10/15/2007 and was last updated on 5/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & Behavioral6301005971MICHIGANNo
2103TC0700XPsychologistClinical6301005971MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16301005971OTHERMICHIGANLICENSE
20N15280OTHERMICHIGANAPEX BEHAVIORAL HEALTH P.L.L.C. MEDICARE GROUP PIN NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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