Kathleen Mary Tuta, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301005774 Issued in MI

Practice address

3445 Yellowstone Dr
Ann Arbor, MI 48105-1503

Phone

(734) 646-9026

NPI assigned

Jun 2, 2006

Last updated

Apr 29, 2019By the provider in NPPES

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

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1275571366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 YELLOWSTONE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051503",
            "telephone_number": "734-662-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 YELLOWSTONE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051503",
            "telephone_number": "734-646-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTA",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "680H146480",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11290827",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aneyshua Lynese Turnipseed, LMSW-C
• Susan Turpin
• Angelica Turrubiates
• Hailey Rose Tursak
• Heather Jo Tuscany
• Rachel Helen Mary Tuttle, LMSW
• Sarah Renee Tuttle, NP
• Narko Anthony Tutuo, MB, BS
• Laurin Nicole Tuxbury-Elliott, MSW
• Jennifer Margaret Nolf Tweadey, PA

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.