Individual provider Active NPI

Millicent Marie Perkins, PSY.D.

  • Clinical Psychologist
  • Kalamazoo, MI
National Provider Identifier
1700340817
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009903 Issued in MI
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

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190617002668 MI Practitioner - Clinical Psychologist 2668705088 Reassigns benefits to 2 organizations
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Change & Growth PLC Current Accepting new patients
Kalamazoo Act Psychotherapy Services CurrentSince Mar 1, 2022 Accepting new patients
Grow Healthcare Group PA CurrentSince Mar 25, 2025 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.

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

Verify at the official NPI Registry.