KALAMAZOO PSYCHOLOGY (NPI# 1306145420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306145420 |
| Entity Type | Organization |
| Organization Name | KALAMAZOO PSYCHOLOGY |
| Practice Address |
122 W South St Kalamazoo MI 49007-4711 |
| Practice Telephone | 2693494219 |
| Practice Fax Number | 2693495107 |
| Mailing Telephone | 2693494219 |
| Mailing Fax Number | 2693495107 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |
| Authorized Official Name | MS. KIMBERLY LEM (OWNER) |
| Authorized Official Telephone | 2693494219 |
| Authorized Official Credential | LLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | L1929389 | MI | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KALAMAZOO PSYCHOLOGY LLC | 122 W South St, Kalamazoo, MI 49007-4711 |
| Street Address |
122 W SOUTH ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437216181 | Angela J. Hirschy | Psychologist | 122 W South St, Kalamazoo, MI 49007-4711 | 2007-01-02 |
| 1790334829 | Carly Denny | Psychologist | 122 W South St, Kalamazoo, MI 49007-4711 | 2019-09-11 |
| 1043761349 | Amanda Frey | Counselor | 122 W South St, Kalamazoo, MI 49007-4711 | 2016-10-21 |
| 1689008708 | Luke Joseph Burgdorf | Psychologist | 122 W South St, Kalamazoo, MI 49007-4711 | 2013-08-26 |
| 1730488446 | Mary Corinne Spradling | Psychologist | 122 W South St, Kalamazoo, MI 49007-4711 | 2011-03-21 |
| 1063721439 | Marc Jeffrey Greene | Psychologist | 122 W South St, Kalamazoo, MI 49007-4711 | 2010-10-01 |
| 1740512524 | Brian Charles Hayes | Counselor | 122 W South St, Kalamazoo, MI 49007-4711 | 2010-02-04 |
| 1083879852 | Kalamazoo Psychology, LLC | Psychologist | 122 W South St, Kalamazoo, MI 49007-4711 | 2008-07-22 |
| 1477711182 | William S Shauman | Psychologist | 122 W South St, Kalamazoo, MI 49007-4711 | 2008-05-29 |
| 1326238270 | Rebecca Ann Walker | Counselor | 122 W South St, Kalamazoo, MI 49007-4711 | 2007-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1033499173 | Chiquitha Cornelius | Psychologist | 7061 W N Ave, Kalamazoo, MI 49009-9508 | 2011-08-21 |
| 1336311257 | Margaret O Ajayi-nabors | Psychologist | 350 E Michigan Ave, Suite 135, Kalamazoo, MI 49007-3800 | 2008-03-31 |
| 1275737413 | Dorman and Associates Plc | Psychologist | 3207 Stadium Dr, Suite 2, Kalamazoo, MI 49008-1536 | 2007-06-12 |
| 1922212265 | Nancy Ann Hayes | Psychologist | 4341 S Westnedge, Suite 2109, Kalamazoo, MI 49008 | 2007-05-09 |
| 1043430184 | Yanis Peteris Grants | Psychologist | 4341 S Westnedge Av, Suite 2109, Kalamazoo, MI 49008 | 2007-04-30 |
| 1548385792 | Matthew G Rushlau | Psychologist | 4031 W Main St Ste 400, Kalamazoo, MI 49006-3730 | 2007-03-20 |
| 1477686251 | Carla A Fallon | Psychologist | 414 W Crooked Lake Drive, Kalamazoo, MI 49009-8930 | 2007-03-13 |
| 1396885604 | Scott Kelly & Associates PC | Psychologist | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2007-02-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.