Active NPI
Jill L Platte, MS, LLP
- Psychologist
- Traverse City, MI
National Provider Identifier
1023230406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301010375
- Practice address
- 105 Hall Street
Suite a
Traverse City, MI 49684 - Phone
- (231) 922-4850
- Fax
- (231) 935-3856
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301010375 | MI | Primary |
Addresses
Primary practice location
105 Hall Street
Suite a
Traverse City, MI 49684
Mailing address
105 Hall Street
Suite a
Traverse City, MI 49684
Phone (231) 922-4850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010375 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023230406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 HALL STREET",
"address_2": "SUITE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49684",
"telephone_number": "231-922-4850",
"fax_number": "231-935-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 HALL STREET",
"address_2": "SUITE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49684",
"telephone_number": "231-922-4850",
"fax_number": "231-935-3856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATTE",
"first_name": "JILL",
"middle_name": "L",
"credential": "MS, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301010375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
- Jacqueline Beatrice Plamondon, FNP-BC
- Mark A Plamp, RPH
- Planned Parenthood of West & Northern Michigan, Inc
- Plant Centered Healing LLC (Healing with Kasey)
- Platinum Home Health Care (Atticus Black)
- Sarah Jo Pleva, LLMSW
- George R Pluhar, D C
- Rachel H Plum, M.D.
- Anne Elizabeth Plummer, DPT
- Margaret M Podworski, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.