Kamille La Rosa

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6352000653 Issued in MI

Practice address

196 S Industrial Dr
Saline, MI 48176-9175

Phone

(734) 944-3446

NPI assigned

Feb 28, 2022

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

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.

Medicare enrollment (NPD)

Enrolled

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.

• La Rosa Psychological Services LLC

  • Clinical Psychologist
  • Holland, MI
  • NPI 1134053861
  NPD Authorized official
• Psychological Insights, LLC

  • Clinical Psychologist
  • Holland, MI
  • NPI 1053172239
  NPD
• Integrative Empowerment Group, PLLC

  • Psychologist
  • Ypsilanti, MI
  • NPI 1114359882

  Counselor

  NPD (past)
• Way to Thrive

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1043143365
  NPD (past)

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1417603531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 S INDUSTRIAL DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769175",
            "telephone_number": "734-944-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 S INDUSTRIAL DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769175",
            "telephone_number": "734-944-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA ROSA",
        "first_name": "KAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6352000653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn Driver LLC
• Kyle Stephen Kroll, MD
• Sofia Kucinskas
• Kimberly Kulp-Osterland, D.O.
• Daniel Kutaish, RN
• Melissa May Labadie, OTRL
• Nicole Marie Laird, LLPC, CADC
• Arthur Paul Lawrence, DDS
• Laurel K. Layher, L.P.C.
• Kuenok Lee, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.