Kristy Fujiura, PSY.D.
Individual provider Active NPI Clinical Psychologist · Richland, MI
NPI 1164855433 · NPPES record last updated Sep 10, 2019
Key facts
- NPI
- 1164855433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301017988 (MI)
- Practice address
- 6701 Alongside LN
Richland, MI 49083-8633 - Phone
- (269) 447-2100
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301017988 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristy Fujiura Counseling LLC | Clinical | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301017988 | MI | Yes |
Addresses
Primary practice location
6701 Alongside LN
Richland, MI 49083-8633
Mailing address
PO Box 587
Richland, MI 49083-0587
Phone (269) 447-2100
Other providers in Richland, MI
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- Dawn Marie Farrah
- Karen Emily Fayle
- Kevin Michael Flynn
- Meghan Brie Fought
- Kimberly S Griffin
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- Richard Gutierrez
- Sharon Hanley
All providers in Richland, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.