Kerry L. Garretson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

KERRY L. GARRETSON, PH.D.

Practice address

6912 Spring Valley Dr
Suite 202C
Holland, OH 43528-9676

Phone

(419) 866-4644

Fax

(419) 861-5040

NPI assigned

Jul 20, 2011

Last updated

Oct 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kerry Garretson, PH.D.NPI 1891839452

Title

Psychologist

Phone

(419) 866-4644

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Lee Garretson, PH.D.

  • Psychologist
  • Holland, OH
  • NPI 1891839452
  NPD (past) Authorized official

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1275821514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4986 COUNTY ROAD 6 1",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435159241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 SPRING VALLEY DR",
            "address_2": "SUITE 202C",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289676",
            "telephone_number": "419-866-4644",
            "fax_number": "419-861-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY L. GARRETSON, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "GARRETSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "419-866-4644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0528003",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Nathaniel Judge, DPT
• Jon Robert Keeley, R.PH, M.S.
• Julia Keister, RPH
• Ashey Kelley, CDCA
• Tori Kelley, APS
• Jeremy Kestner
• Brian King, CNP
• Jeffery Kirkman
• KJ Transportation Services LLC
• Rachel Klein

• Psychologist in Holland, OH
• Providers in Holland, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.