Active NPI
Kemmel A Palmer
- Counseling Psychologist
- Kalamazoo, MI
National Provider Identifier
1568120442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6362009218
- Practice address
- 1411 Oakland Dr
Kalamazoo, MI 49008-1206 - Phone
- (706) 761-7357
- NPI assigned
- Dec 7, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6362009218 | MI | Primary |
Addresses
Primary practice location
1411 Oakland Dr
Kalamazoo, MI 49008-1206
Mailing address
7342 Willow Wood Dr NE
Belmont, MI 49306-9419
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009218 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1568120442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7342 WILLOW WOOD DR NE",
"city": "BELMONT",
"state": "MI",
"postal_code": "493069419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081206",
"telephone_number": "706-761-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "KEMMEL",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6362009218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.