Kim D. Kemske, Psy.D., L.P., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013347 Issued in MI

Legal business name

KIM D. KEMSKE, PSY.D., L.P., P.C.

Practice address

24505 Meadowbrook Rd
Novi, MI 48375-2845

Phone

(248) 615-1263

NPI assigned

May 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kim D. Kemske, PSY.D., L.P.NPI 1083606446

Title

President

Phone

(248) 615-1263

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim D Kemske, PHD

  • Psychologist
  • Livonia, MI
  • NPI 1083606446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1669790341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24505 MEADOWBROOK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24505 MEADOWBROOK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752845",
            "telephone_number": "248-615-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM D. KEMSKE, PSY.D., L.P., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "KEMSKE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-615-1263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., L.P."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MI1405",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Kilgore, DPT
• Sharon Kilgore, PT
• Timothy J Killgrove, DDS
• Elizabeth Killips
• Teri Killoran, LPN
• Chami Kim
• Jennifer Kim
• Jina Kim
• Brianne Michelle Kimball
• Milleena Kimber

• Clinical Psychologist in Novi, MI
• Providers in Novi, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.