Active NPI
Tammi Dea Kolski, MS, LLP
- Clinical Psychologist
- Newaygo, MI
National Provider Identifier
1477576726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301007485
- Practice address
- 9433 Annie LN
Newaygo, MI 49337-8012 - Phone
- (231) 834-9513
- Fax
- (231) 834-9524
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301007485 | MI | Primary |
Addresses
Primary practice location
9433 Annie LN
Newaygo, MI 49337-8012
Mailing address
9433 Annie LN
Newaygo, MI 49337-8012
Phone (231) 834-9513
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007485 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1477576726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9433 ANNIE LN",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493378012",
"telephone_number": "231-834-9513",
"fax_number": "231-834-9524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9433 ANNIE LN",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493378012",
"telephone_number": "231-834-9513",
"fax_number": "231-834-9524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLSKI",
"first_name": "TAMMI",
"middle_name": "DEA",
"name_prefix": "Mrs.",
"credential": "MS, LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301007485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newaygo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.