Individual provider Active NPI

Mary Theresa Zirpoli, EDD

  • Counseling Psychologist
  • Kalamazoo, MI
National Provider Identifier
1548367493
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
Child and Family Psychological Services
5340 Holiday Terrace
Kalamazoo, MI 49009-2196
Phone
(269) 372-4140
Fax
(269) 372-0390
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X MI Primary

Addresses

Primary practice location

Child and Family Psychological Services
5340 Holiday Terrace
Kalamazoo, MI 49009-2196

Mailing address

Child and Family Psychological Services
5340 Holiday Terrace
Kalamazoo, MI 49009-2196
Phone (269) 372-4140

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191218002905 MI Practitioner - Clinical Psychologist 6608200977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid America Psychological Services PCGroup PAC ID 1759374812, 6 clinicians

Practice addresses (Care Compare)

8036 Moorsbridge Rd
Suite 2
Portage, MI 49024-4417
Phone (269) 327-1438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
630006786MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-America Psychological Services, P. C. CurrentSince Jun 10, 2023 Accepting new patients

Locations

3325 Greenleaf Blvd
Kalamazoo, MI 49008

8036 Moorsbridge Rd
Ste 2
Portage, MI 49024
Phone (269) 327-1438

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548367493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHILD AND FAMILY PSYCHOLOGICAL SERVICES",
            "address_2": "5340 HOLIDAY TERRACE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092196",
            "telephone_number": "269-372-4140",
            "fax_number": "269-372-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILD AND FAMILY PSYCHOLOGICAL SERVICES",
            "address_2": "5340 HOLIDAY TERRACE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092196",
            "telephone_number": "269-372-4140",
            "fax_number": "269-372-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRPOLI",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.