Kjc323Pllc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013342 Issued in MI

Legal business name

KJC323PLLC

Doing business as

kathleen j. cramer

Practice address

967 Spaulding Ave SE
Suite E
Ada, MI 49301-3700

Phone

(616) 464-4324

Fax

(616) 949-5336

NPI assigned

Jun 21, 2012

Last updated

Nov 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Jandernoa Cramer, PHD,LPNPI 1083765812

Title

Clinical Psychologist

Phone

(616) 464-3424

Specialties & licenses 1

Addresses

Other names 1

• kathleen j. cramer Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Jandernoa Cramer, PHD, L.P.

  • Clinical Psychologist
  • Ada, MI
  • NPI 1083765812
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1194088377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 SPAULDING AVE SE",
            "address_2": "SUITE E",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493013700",
            "telephone_number": "616-464-4324",
            "fax_number": "616-949-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 SPAULDING AVE SE",
            "address_2": "SUITE E",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493013700",
            "telephone_number": "616-464-4324",
            "fax_number": "616-949-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJC323PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "JANDERNOA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-464-3424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kathleen j. cramer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Powers, LLC
• Amanda Lee Kelly, PA
• Shantel Margrie Kelly, MT
• Alexis Brianna Kirk, LLPC
• Lisa Kirkman, RDN
• Christopher Klein, MA
• Rachel Kloosterman, MSN RN, FNP-C
• Michele Koenes, MSW
• Cynthia Joyce Kok, PH.D.
• Jacqueline Kudary, MA, CCC-SLP

• Clinical Psychologist in Ada, MI
• Providers in Ada, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.