Kelly Toggweiler

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6362008020 Issued in MI

Practice address

10524 Grand River Rd Ste 100
Brighton, MI 48116-9559

Phone

(810) 225-3417

NPI assigned

Aug 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Kelly Truesdale Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ktoggweiler1088298@direct.hfhs.org

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1720502685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32523 WISCONSIN ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503717",
            "telephone_number": "586-883-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 GRAND RIVER RD STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169559",
            "telephone_number": "810-225-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGGWEILER",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "6301017132",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017132",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "6362008020",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6362008020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "TRUESDALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anabella Rose Timpa
• Yara Tinawi, DPM
• Sarah Tjards, MD
• Cassandra Tluczek-Jessee
• Brian Charles Todorow, LMSW, MA
• Samantha Aileen Toma
• Tomz Optical Inc
• Rebecca Tostige Ruthberg, MD
• Steven A Townsend, DC
• Transcare Transportation Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.