Dr Kukuk & Dr Haubold PC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

DR KUKUK & DR HAUBOLD PC

Practice address

1139 E Front St
Traverse City, MI 49686

Phone

(231) 947-7082

Fax

(231) 947-1911

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Louis Haubold, PHDNPI 1851424766

Title

Corporation President

Phone

(231) 947-7082

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Louis Haubold, PHD

  • Counseling Psychologist
  • Traverse City, MI
  • NPI 1851424766
  NPD (past) Authorized official
• Linda Kukuk Haubold, PHD

  • Counseling Psychologist
  • Traverse City, MI
  • NPI 1649303454
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427181239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 OJIBWA TRAIL",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-947-7082",
            "fax_number": "231-947-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-947-7082",
            "fax_number": "231-947-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KUKUK & DR HAUBOLD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAUBOLD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "231-947-7082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine C Douglass, M.S.
• Nancy Dow
• Megan Anne Downer, M.A., CCC-SLP, CLC
• Samantha Louise Doyle
• Dr Justin J Hollander PC
• Dr Luis Felix Oxholm PC
• Dr Richard Burke Pain and Neuromodulation PLLC (Advanced Center for Chronic Pain)
• Dr. Debra J. Kurtz PLLC
• Dr. Heather K. Lee, D.O., PLLC
• Dr. Katherine a Gorman DC PLLC

• Counseling Psychologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.