Kristin Emanuel LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301015211 Issued in MI

Legal business name

KRISTIN EMANUEL LLC

Practice address

3408 Niles Rd
Saint Joseph, MI 49085-8628

Phone

(269) 428-4789

NPI assigned

Oct 30, 2016

Last updated

Oct 30, 2016By 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

Kristin Emanuel, PHDNPI 1225323280

Title

Licensed Psychologist

Phone

(269) 428-4789

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 5

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.

• Kristin M Emanuel, PHD

  • Psychologist
  • Saint Joseph, MI
  • NPI 1225323280
  Medicare reassignment Authorized official
• Patricia Dorsey, LMSW

  • Clinical Social Worker
  • Saint Joseph, MI
  • NPI 1780968016
  NPD (past)
• Amelia Harper

  • Clinical Social Worker
  • Saint Joseph, MI
  • NPI 1063915254
  NPD (past)
• Debra L Rose, LMFT

  • Marriage & Family Therapist
  • Saint Joseph, MI
  • NPI 1992288864
  NPD (past)
• Laura Loeffler Ziebarth, PH.D.

  • Psychologist
  • Saint Joseph, MI
  • NPI 1356494900
  NPD (past)

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

{
    "created_epoch": "1477785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477785600000",
    "number": "1326590928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858628",
            "telephone_number": "269-428-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN EMANUEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-30",
        "last_updated": "2016-10-30",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "269-428-4789",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kovach, LLP
• Gerald F Kozuh, M.D.
• David M Kraklau, M.D.
• Shannon Kramer, RD
• Jonathan Richard Krauss, D.O
• Kristine Proctor, LLC
• Kasey Morgan Kruse, DO
• Rebekah Jasmin Kruzel, LMSW
• Blake Kuehn, LLPC
• Traci Kuhn, LIFESTYLE COACH

• Clinical Psychologist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2016; 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.