Active NPI
Kelly Elizabeth Hurd
- Psychologist
- Kalamazoo, MI
National Provider Identifier
1396984571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301014109
- Practice address
- 1521 Gull Rd
Kalamazoo, MI 49048 - Phone
- (269) 226-8133
- NPI assigned
- Feb 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301014109 | MI | Primary |
Addresses
Primary practice location
1521 Gull Rd
Kalamazoo, MI 49048
Mailing address
1521 Gull Rd
Kalamazoo, MI 49048-1640
Other practice location 1
15004 3rd St
Suite 236
Highland Park, MI 48203-3718
Phone (313) 868-8847
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014109 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532736000000",
"number": "1396984571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49048",
"telephone_number": "269-226-8133"
}
],
"practiceLocations": [
{
"address_1": "15004 3rd St",
"address_2": "Suite 236",
"address_purpose": "LOCATION",
"city": "Highland Park",
"state": "MI",
"postal_code": "482033718",
"country_code": "US",
"telephone_number": "313-868-8847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURD",
"first_name": "KELLY",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-12",
"last_updated": "2018-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301014109",
"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 Jul 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.