Active NPI
Insight Therapy Services
- Clinical Social Worker
- Paw Paw, MI
National Provider Identifier
1467188011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INSIGHT THERAPY SERVICES
- Practice address
- 35577 44TH Ave
Paw Paw, MI 49079-9541 - Phone
- (269) 436-4721
- NPI assigned
- Jul 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Jermyn
- Title
- Owner
- Phone
- (269) 436-4721
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
35577 44TH Ave
Paw Paw, MI 49079-9541
Mailing address
5380 Holiday Ter Ste 46
Kalamazoo, MI 49009-2128
Phone (269) 436-4721
National Provider Directory
National Provider DirectoryLocations
5380 Holiday Ter
Ste 46
Kalamazoo, MI 49009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Kalamazoo, MI
- NPI 1245615954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669161600000",
"number": "1467188011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5380 HOLIDAY TER STE 46",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092128",
"telephone_number": "269-436-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35577 44TH AVE",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490799541",
"telephone_number": "269-436-4721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-26",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A",
"authorized_official_last_name": "JERMYN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "269-436-4721"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.