Active NPI
Margo Christine Runkle, JD, MA
- Psychologist
- Saint Joseph, MI
National Provider Identifier
1710219159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301014399
- Practice address
- 4265 Niles Rd
Saint Joseph, MI 49085-9603 - Phone
- (269) 615-2450
- Fax
- (269) 428-3448
- NPI assigned
- Feb 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6301014399 | MI | |
| Psychologist | 103T00000X | 6301014399 | MI | Primary |
Addresses
Primary practice location
4265 Niles Rd
Saint Joseph, MI 49085-9603
Mailing address
4265 Niles Rd
Saint Joseph, MI 49085-9603
Phone (269) 615-2450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Juris Doctor, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014399 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1710219159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4265 NILES RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859603",
"telephone_number": "269-615-2450",
"fax_number": "269-428-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4265 NILES RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859603",
"telephone_number": "269-615-2450",
"fax_number": "269-428-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNKLE",
"first_name": "MARGO",
"middle_name": "CHRISTINE",
"credential": "JD, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-10",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6301014399",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301014399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.