Jessica A Kerby, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301015083 Issued in MI

Practice address

7320 Garden LN
Portage, MI 49002-4423

Phone

(269) 612-4322

NPI assigned

Mar 21, 2012

Last updated

Mar 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kerby Psychological Services, PLLCGroup PAC ID 2860741402, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

• Kerby Psychological Services PLLC

  • Psychologist
  • Kalamazoo, MI
  • NPI 1285017244
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1568737799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7862 PRIMROSE LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244966",
            "telephone_number": "269-569-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 GARDEN LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024423",
            "telephone_number": "269-612-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301015083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin James Kelly, MD
• Christina M Kemple
• Cynthia R Kemple, OT
• Kennedy Consultation & Wellness
• Bridget Sage Kenny, P.A.-C.
• Keszei Vision Care, PLC (Keszei Vision Care)
• Vincent Andrew Keszei, M.D.
• Joshua Kettlewell, PT, DPT
• Kevin J. Kelly MD, PC
• Kid Strides Physical Therapy LLC

• Counseling Psychologist in Portage, MI
• Providers in Portage, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.