Active NPI
Craig Laurence Kitchen
- Psychologist
- Marquette, MI
National Provider Identifier
1154371656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301010034
- Practice address
- 1000 Silver Creek Rd
Marquette, MI 49855-8948 - Phone
- (906) 249-5437
- Fax
- (906) 249-5438
- NPI assigned
- May 12, 2006
- Sex
- Male
- 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 | 6301010034 | MI | Primary |
Addresses
Primary practice location
1000 Silver Creek Rd
Marquette, MI 49855-8948
Mailing address
1000 Silver Creek Rd
Marquette, MI 49855-8948
Phone (906) 249-5437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010034 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teaching Family Homes of Upper Michigan | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Marquette, MI
- NPI 1104876689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1154371656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SILVER CREEK RD",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498558948",
"telephone_number": "906-249-5437",
"fax_number": "906-249-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SILVER CREEK RD",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498558948",
"telephone_number": "906-249-5437",
"fax_number": "906-249-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHEN",
"first_name": "CRAIG",
"middle_name": "LAURENCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301010034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.