Individual provider Active NPI

Brian P Littleton, PHD

  • Psychologist
  • Kalamazoo, MI
National Provider Identifier
1073890356
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301018869 Issued in MI
Practice address
3608 S Burdick St
Kalamazoo, MI 49001-4838
Phone
(269) 381-4552
NPI assigned
Nov 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301018869 MI Primary

Addresses

Primary practice location

3608 S Burdick St
Kalamazoo, MI 49001-4838

Mailing address

3608 S Burdick St
Kalamazoo, MI 49001-4838
Phone (269) 381-4552

Other practice location 1

420 W 5th Ave
Flint, MI 48503-2445
Phone (810) 257-3705

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301018869MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Assessment Psychology CurrentSince Mar 12, 2023 Accepting new patients
Genesee Health System Past Accepting new patients

Locations

3608 S Burdick St
Kalamazoo, MI 49001
Phone (269) 366-4422

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1073890356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014838",
            "telephone_number": "269-381-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014838",
            "telephone_number": "269-381-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485032445",
            "country_code": "US",
            "telephone_number": "810-257-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLETON",
        "first_name": "BRIAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.