Kathleen Curtis Korstange, M.A,

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301007744 Issued in MI

Practice address

905 S Stewart Ave
Fremont, MI 49412-9201

Phone

(231) 924-5309

NPI assigned

Jun 27, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Midwest Psychology, PC

  • Psychologist
  • Fremont, MI
  • NPI 1154464907
  NPD (past)

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1689014268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S STEWART AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129201",
            "telephone_number": "231-924-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S STEWART AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129201",
            "telephone_number": "231-924-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORSTANGE",
        "first_name": "KATHLEEN",
        "middle_name": "CURTIS",
        "credential": "M.A,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamela M Kelly, R.N.
• Kenneth B Weddell DDS PC
• Katlynn Suzanne Kern, NP
• Ashley Mae Klinger
• Michele Elisa Klukos, MS,PT
• Cheryl Lee Kublin, OTR-L
• Jeremy James Kuiper, M.D.
• Trisha Kulczyski, R.N.
• Mary Grace Lagare, PTR
• David Ervin Langholz, M.D.

• Psychologist in Fremont, MI
• Providers in Fremont, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.