MCKENNA CORLIS (NPI# 1326575960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326575960 |
| Entity Type | Individual |
| Full Name | MCKENNA CORLIS |
| Credential | M.A. |
| Practice Address |
5380 Holiday Ter Ste 32 Kalamazoo MI 49009-2128 |
| Mailing Address |
127 W Dutton St Apt 3 Kalamazoo MI 49007-5288 |
| Practice Telephone | 2694591512 |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2017-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301017040 | MI | Behavioral Health & Social Service Providers |
| Street Address |
5380 HOLIDAY TER STE 32 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508212697 | Arlene Giacona | Social Worker | 5380 Holiday Ter Ste 32, Kalamazoo, MI 49009-2128 | 2016-05-09 |
| 1497383582 | Laird Walker | Social Worker | 5380 Holiday Ter Ste 32, Kalamazoo, MI 49009-2128 | 2020-04-01 |
| 1578123220 | Abbie Andrzejak | Social Worker | 5380 Holiday Ter Ste 32, Kalamazoo, MI 49009-2128 | 2019-06-15 |
| 1346769783 | Meaghan Lewis | Psychologist | 5380 Holiday Ter Ste 32, Kalamazoo, MI 49009-2128 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700340817 | Millicent Marie Perkins | Psychologist | 9177 W R Ave, Kalamazoo, MI 49009-9740 | 2019-01-23 |
| 1437644945 | Christopher Andre' Briggs | Psychologist | 5182 N Peak St, Kalamazoo, MI 49004-2149 | 2018-06-27 |
| 1922468123 | Margaret Hunter | Psychologist | 2524 Lomond Dr, Kalamazoo, MI 49008-2126 | 2016-03-01 |
| 1972902856 | Craig Crawford | Psychologist | 8566 Old Stone Cir, Kalamazoo, MI 49009-4535 | 2014-08-18 |
| 1497188049 | Erica Christoff | Psychologist | 4341 S Westnedge Ave Ste 1201, Kalamazoo, MI 49008-3284 | 2013-08-19 |
| 1265776629 | Julie Meredith Davis | Psychologist | 5985 W Main St Ste 101, Kalamazoo, MI 49009 | 2012-11-23 |
| 1033498993 | Laurie L. Assadi | Psychologist | 4341 South Westnedge, Suite 2101, Kalamazoo, MI 49008-3286 | 2011-08-10 |
| 1538322771 | Alan Hill | Psychologist | 2416 Benton Avenue, Kalamazoo, MI 49008 | 2008-07-08 |
| 1912174715 | Thomas Ray Holmes | Psychologist | 2923 Memory Ln, Kalamazoo, MI 49006-5534 | 2008-05-12 |
| 1922278290 | Charles T. Glatt | Psychologist | 3040 Wellington Rd, Kalamazoo, MI 49008-2141 | 2008-03-03 |
| Find all providers in KALAMAZOO | ||||
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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.