Nancy Kulish, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301000550 Issued in MI

Practice address

625 Purdy St
Birmingham, MI 48009

Phone

(248) 258-0904

Fax

(248) 258-9348

NPI assigned

May 30, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 30, 2015 through Nov 30, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417158031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PURDY ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-258-0904",
            "fax_number": "248-258-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PURDY ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-258-0904",
            "fax_number": "248-258-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULISH",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MI",
            "license": "6301000550",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301000550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPQ NUMBER",
            "identifier": "293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nicole Kline, OTRL
• William J. Koppin
• Jennifer Marie Korff, MT-BC, CCLS
• Melia Coratti Kramer, CNM
• Kroger Co of Michigan (Kroger Pharmacy)
• Allison Kuzak
• Mary Kirsten Kyle, MT-BC
• Isabella Anna Largin, MS, RDN
• Lisa Greenlee Lasala, MSW ACSW
• Andrea Lavigne, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.