Individual provider Active NPI

Rachel Dianne Kern, LLP

  • Psychologist
  • Trenton, MI
National Provider Identifier
1245878685
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301017769 Issued in MI
Practice address
1660 Fort St
Trenton, MI 48183-2003
Phone
(248) 921-1495
NPI assigned
Dec 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301017769 MI Primary

Addresses

Primary practice location

1660 Fort St
Trenton, MI 48183-2003

Mailing address

1660 Fort St
Trenton, MI 48183-2003
Phone (248) 921-1495

Other names 1

  • Ms. Rachel Dianne Kern Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301017769MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psygenics Inc Psychologist CurrentSince Sep 11, 2020 Accepting new patients

Locations

1660 Fort St
Trenton, MI 48183
Phone (734) 304-4159

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1245878685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832003",
            "telephone_number": "248-921-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832003",
            "telephone_number": "248-921-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "RACHEL",
        "middle_name": "DIANNE",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "KERN",
            "middle_name": "DIANNE",
            "prefix": "MS.",
            "credential": "LLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.