Active NPI
Heather Kraft, TLLP
- Clinical Psychologist
- Sandusky, MI
National Provider Identifier
1649993304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6362009606
- Practice address
- 227 E Sanilac Rd
Sandusky, MI 48471-1160 - Phone
- (810) 648-0330
- Fax
- (810) 648-0319
- NPI assigned
- Sep 19, 2022
- Last updated
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6362009606 | MI | Primary |
Addresses
Primary practice location
227 E Sanilac Rd
Sandusky, MI 48471-1160
Mailing address
227 E Sanilac Rd
Sandusky, MI 48471-1160
Phone (810) 648-0330
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 |
|---|---|---|---|
| 6362009606 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1649993304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 E SANILAC RD",
"city": "SANDUSKY",
"state": "MI",
"postal_code": "484711160",
"telephone_number": "810-648-0330",
"fax_number": "810-648-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 E SANILAC RD",
"city": "SANDUSKY",
"state": "MI",
"postal_code": "484711160",
"telephone_number": "810-648-0330",
"fax_number": "810-648-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFT",
"first_name": "HEATHER",
"credential": "TLLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6362009606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandusky, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.