Individual provider Active NPI

Emily Kay Bemis, MA, TLLP

  • Psychologist
  • Northville, MI
National Provider Identifier
1124741558
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6352000741 Issued in MI
Practice address
107 E Main St Ste 204
Northville, MI 48167-1566
Phone
(313) 643-5236
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6352000741 MI
Psychologist 103T00000X 6352000741 MI Primary

Addresses

Primary practice location

107 E Main St Ste 204
Northville, MI 48167-1566

Mailing address

107 E Main St Ste 204
Northville, MI 48167-1566

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bemisekk@gmail.com

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 Arts

State licenses

LicenseStateTypeSpecialty
6352000741MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1124741558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST STE 204",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST STE 204",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671566",
            "telephone_number": "313-643-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMIS",
        "first_name": "EMILY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MA, TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6352000741",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6352000741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bemisekk@gmail.com",
            "affiliation": "N",
            "address_1": "107 E Main St Ste 204",
            "city": "Northville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481671566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.