NPIMap

Organization Active NPI

Kerby Psychological Services PLLC

  • Psychologist
  • Kalamazoo, MI
National Provider Identifier
1285017244
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301015083 Issued in MI
Legal business name
KERBY PSYCHOLOGICAL SERVICES PLLC
Practice address
4017 W Main St Ste 100
Kalamazoo, MI 49006-3731
Phone
(269) 205-8772
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Dr. Jessica A Kerby, PH.D, LPNPI 1568737799
Title
Licensed Psychologist
Phone
(269) 569-2216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 6301015083 MI Primary

Addresses

Primary practice location

4017 W Main St Ste 100
Kalamazoo, MI 49006-3731

Mailing address

7862 Primrose LN
Portage, MI 49024-4966
Phone (269) 569-2216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180815002231 MI Part B Supplier - Clinic/Group Practice 2860741402 Receives reassigned benefits from 5 practitioners
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1285017244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7862 PRIMROSE LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244966",
            "telephone_number": "269-569-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 W MAIN ST STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063731",
            "telephone_number": "269-205-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERBY PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "KERBY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "269-569-2216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.