Kaitlin Carson, MA, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361002692 Issued in MI

Practice address

9397 N Haggerty Rd
Plymouth, MI 48170-4622

Phone

(734) 927-1201

NPI assigned

Sep 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kaitlin Kerscher Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Solid Ground Counseling, PLLC

  • Community/Behavioral Health Agency
  • Plymouth, MI
  • NPI 1316107345
  NPD

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1407339682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27640 DANIEL CT",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480456317",
            "telephone_number": "586-863-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704622",
            "telephone_number": "734-927-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "KAITLIN",
        "name_prefix": "Mrs.",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361002692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "KERSCHER",
            "prefix": "MS.",
            "credential": "MA, LLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael P Carpenter, DDS
• Carrara Counseling Services LLC
• Nancy Carrara, LMSW
• Samantha G Carrillo
• Kaylee Carron
• Aliyah Carter
• Anna Carter
• Dejenea Carter
• Oleivia Carter
• Reuben Carter

• Clinical Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.