Kathleen Nelson PH.D., PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008117 Issued in MI

Legal business name

KATHLEEN NELSON PH.D., PLC

Practice address

1042 N Milford Rd Ste 205
Milford, MI 48381-5109

Phone

(248) 889-5767

Fax

(248) 714-1480

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Kremser Nelson, PH.D.NPI 1205080934

Title

Owner

Phone

(248) 889-5767

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Kremser Nelson, PH.D.

  • Psychologist
  • Milford, MI
  • NPI 1205080934
  NPD Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1205042959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N MILFORD RD STE 205",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815109",
            "telephone_number": "248-889-5767",
            "fax_number": "248-714-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 N MILFORD RD STE 205",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815109",
            "telephone_number": "248-889-5767",
            "fax_number": "248-714-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN NELSON PH.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "KREMSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-889-5767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008117",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bongseok Kang
• Mark Z Karabajakian, DO
• Thomas John Karpinski Jr.
• Jennifer Lynn Kasemeyer, ATC
• Kastytis Buitkus MD PC
• Kelly Kay, OTR
• Christi Keaveny, LMT
• Chase A Kennedy-Galley, CPHT
• Kensington Valley Heart, PC
• Jill Marie Kern

• Clinical Psychologist in Milford, MI
• Providers in Milford, 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 16, 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.