Janet Trudee Tarkowski, EDD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301006869 Issued in MI

Practice address

4021 W Main St
Suite 100
Kalamazoo, MI 49006-3706

Phone

(269) 384-6055

Fax

(269) 384-6056

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1386709483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063706",
            "telephone_number": "269-384-6055",
            "fax_number": "269-384-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063706",
            "telephone_number": "269-384-6055",
            "fax_number": "269-384-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARKOWSKI",
        "first_name": "JANET",
        "middle_name": "TRUDEE",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301006869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE NUMBER",
            "identifier": "6301006869",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11290266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "68-0-C9-4592-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.