Christopher W Palmer, TLLP

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

6352000775 Issued in MI

Practice address

210 S 5TH Ave
Ann Arbor, MI 48104-2216

Phone

(734) 764-3471

NPI assigned

Aug 22, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• University of Michigan Psychological Clinic

  • Psychologist
  • Ann Arbor, MI
  • NPI 1427229095
  NPD
• University of Michigan-University Center for the Child and Family

  • Clinical Child & Adolescent Psychologist
  • Ann Arbor, MI
  • NPI 1952326837
  NPD

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1619751500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37923 STREAMVIEW DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122549",
            "telephone_number": "734-497-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 5TH AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042216",
            "telephone_number": "734-764-3471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5229 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023930",
            "country_code": "US",
            "telephone_number": "313-577-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "TLLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "6352000775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elyse Palka, M.D.
• Carter Pallett, MS, AT, ATC
• Victor Pallotta Jr., PHARMD
• Phillip Lee Palmbos, MD
• Anthony C Palmer, M.D.
• Justin Edward Palmer
• Kaitlyn Palmer
• Rebecca Lynn Palmer, D.D.S.
• Riann M Palmieri-Smith, PH.D.
• Itai Palmon, MD

• Student in an Organized Health Care Education/Training Program in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.