Kathleen Kremser Nelson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301008117 Issued in MI

Practice address

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

Phone

(248) 889-5767

Fax

(248) 714-1480

NPI assigned

Nov 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Kathleen Nelson PH.D., PLC

  • Clinical Psychologist
  • Milford, MI
  • NPI 1205042959
  NPD Authorized official

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1205080934",
    "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": {
        "last_name": "NELSON",
        "first_name": "KATHLEEN",
        "middle_name": "KREMSER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0F332330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1205042959",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Michael Mueller, DDS
• Mary Elizabeth Mulhall, LLP
• Stephanie Nagy, ADS
• Need to Talk Therapy, LLC
• James Nelson, FIREFIGHTER/EMT
• New York Massage Company
• Newbeginningsii
• Nextgen Physicians PLC
• Schelly Nichols
• Kara Ann Niffin

• Psychologist in Milford, MI
• Providers in Milford, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.