Sandra Suzanne Kumm

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6301015779 Issued in MI

Practice address

194 E Main St
Northville, MI 48167-1620

Phone

(248) 719-7671

Fax

(248) 719-7563

NPI assigned

Dec 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1194156927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 SCENIC DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881416",
            "telephone_number": "734-776-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671620",
            "telephone_number": "248-719-7671",
            "fax_number": "248-719-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMM",
        "first_name": "SANDRA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301015779",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MI",
            "license": "6301015779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Krzyzaniak
• Katherine Kuciemba, MA, LLPC
• Eileen Kuet, M.D.
• Kumkum Kumar, RD
• Michael Kumeisha, RBT
• Kiera McGinley Kunkle, MA
• Kuznar Psychology for Wellness and Well-Being, LLC
• Melissa Renee Kuznar, MA, LPC, NT
• Alexis Rose Kwasniewicz, MS, OTR/L
• Candice Kwok

• Clinical Child & Adolescent Psychologist in Northville, MI
• Providers in Northville, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.