Individual provider Active NPI

Cammie E Kitchens

  • Health Psychologist
  • Clinton, MS
National Provider Identifier
1467391391
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Practice address
942 Cherry Stone Cir
Clinton, MS 39056-2024
Phone
(601) 954-3772
NPI assigned
Mar 26, 2026
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X Primary

Addresses

Primary practice location

942 Cherry Stone Cir
Clinton, MS 39056-2024

Mailing address

942 Cherry Stone Cir
Clinton, MS 39056-2024
Phone (601) 954-3772

Other names 1

  • Sonja Davis Kitchens Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1467391391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 CHERRY STONE CIR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390562024",
            "telephone_number": "601-954-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 CHERRY STONE CIR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390562024",
            "telephone_number": "601-954-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "CAMMIE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONJA",
            "last_name": "KITCHENS",
            "middle_name": "DAVIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.