Individual provider Active NPI

Rita B Kenyon-Jump, PH.D.

  • Clinical Psychologist
  • Battle Creek, MI
National Provider Identifier
1316971344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008010 Issued in MI
Practice address
5500 Armstrong Rd
Dept. of Veterans Affaris Medical Center (116a)
Battle Creek, MI 49015-1014
Phone
(269) 966-5600
Fax
(269) 660-3063
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301008010 MI Primary

Addresses

Primary practice location

5500 Armstrong Rd
Dept. of Veterans Affaris Medical Center (116a)
Battle Creek, MI 49015-1014

Mailing address

5500 Armstrong Rd
Dept. of Veterans Affaris Medical Center (116a)
Battle Creek, MI 49015-1014
Phone (269) 966-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250816000076 MI Practitioner - Clinical Psychologist 1254830201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

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

885 Penniman Ave
Unit 5425Ae
Plymouth, MI 48170-7729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Kerby Psychological Services PLLC CurrentSince May 6, 2025 Accepting new patients

Locations

4017 W Main St
Ste 100
Kalamazoo, MI 49006
Phone (269) 205-6339

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316971344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 ARMSTRONG RD",
            "address_2": "DEPT. OF VETERANS AFFARIS MEDICAL CENTER (116A)",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490151014",
            "telephone_number": "269-966-5600",
            "fax_number": "269-660-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 ARMSTRONG RD",
            "address_2": "DEPT. OF VETERANS AFFARIS MEDICAL CENTER (116A)",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490151014",
            "telephone_number": "269-966-5600",
            "fax_number": "269-660-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON-JUMP",
        "first_name": "RITA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.