Active NPI
Gary Kilpela, PSY.D.
- Clinical Psychologist
- Houghton, MI
National Provider Identifier
1306027057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301013061
- Practice address
- 301 West Lake Ave.
Suite 2
Houghton, MI 49931 - Phone
- (906) 281-3459
- NPI assigned
- Nov 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301013061 | MI | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301013061 | MI |
Addresses
Primary practice location
301 West Lake Ave.
Suite 2
Houghton, MI 49931
Mailing address
301 West Lake Ave.
Suite 2
Houghton, MI 49931
Phone (906) 281-3459
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195776000000",
"number": "1306027057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 WEST LAKE AVE.",
"address_2": "SUITE 2",
"city": "HOUGHTON",
"state": "MI",
"postal_code": "49931",
"telephone_number": "906-281-3459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 WEST LAKE AVE.",
"address_2": "SUITE 2",
"city": "HOUGHTON",
"state": "MI",
"postal_code": "49931",
"telephone_number": "906-281-3459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPELA",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-23",
"last_updated": "2007-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301013061",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301013061",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houghton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.