Henrike Beate Kroemer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008187 Issued in MI

Practice address

113 Howard St
Petoskey, MI 49770-4612

Phone

(231) 348-6454

Fax

(231) 347-5205

NPI assigned

Dec 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477615987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HOWARD ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497704612",
            "telephone_number": "231-348-6454",
            "fax_number": "231-347-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HOWARD ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497704612",
            "telephone_number": "231-348-6454",
            "fax_number": "231-347-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEMER",
        "first_name": "HENRIKE",
        "middle_name": "BEATE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "68OB335950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "11281154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Kotlarz, N.M.D.
• Alison Beth Kozan, O.T.R., C.H.T.
• Deborah Ann Kramp, LPN
• Niki Marie Krancevich, PHARMD
• Pamala Krasinski-Wespiser
• Garrett John-Otto Kuhlman, D.C.
• Tamara Kuhn, PT
• Justeena Kuiper
• Mark Jeremy Kulbieda, M.D.
• Kulman Chiropractic Center P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.