Active NPI
Katherine Elizabeth Tennant Beenen, PHD
- Clinical Psychologist
- Kalamazoo, MI
National Provider Identifier
1699323295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301018248
- Practice address
- 1000 Oakland Dr
Kalamazoo, MI 49008-1282 - Phone
- (269) 337-6450
- NPI assigned
- Aug 28, 2019
- 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 | 6301018248 | MI | Primary |
Addresses
Primary practice location
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Mailing address
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-6450
Other practice location 1
670 Mall Dr
Portage, MI 49024-2878
Phone (269) 327-1900
Other names 1
- Katherine Tennant
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1316212343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1699323295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282",
"telephone_number": "269-337-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282",
"telephone_number": "269-337-6450"
}
],
"practiceLocations": [
{
"address_1": "670 Mall Dr",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "MI",
"postal_code": "490242878",
"country_code": "US",
"telephone_number": "269-327-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEENEN",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH TENNANT",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301018248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "TENNANT",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.