Active NPI
Millicent Marie Perkins, PSY.D.
- Clinical Psychologist
- Kalamazoo, MI
National Provider Identifier
1700340817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301009903
- Practice address
- 9177 W R Ave
Kalamazoo, MI 49009-9740 - Phone
- (269) 806-5473
- NPI assigned
- Jan 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 6301009903 | MI | Primary |
Addresses
Primary practice location
9177 W R Ave
Kalamazoo, MI 49009-9740
Mailing address
9177 W R Ave
Kalamazoo, MI 49009-9740
Phone (269) 806-5473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Change & Growth PLC | Current | Accepting new patients | |
| Kalamazoo Act Psychotherapy Services | Current | Accepting new patients | |
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
3331 Greenleaf Blvd
Kalamazoo, MI 49008
5930 Lovers Ln
Ste B
Portage, MI 49002
Phone (269) 366-4595
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Kalamazoo, MI
- NPI 1588260996
-
- Adult Mental Health Clinic/Center
- Paw Paw, MI
- NPI 1649459132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1700340817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9177 W R AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490099740",
"telephone_number": "269-806-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9177 W R AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490099740",
"telephone_number": "269-806-5473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "MILLICENT",
"middle_name": "MARIE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301009903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 23, 2019; 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.