Mary Corinne Spradling, TLLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

L1929389 Issued in MI

Practice address

122 W South St
Kalamazoo, MI 49007-4711

Phone

(269) 349-4219

NPI assigned

Mar 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Corinne Spradling Professional name

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kalamazoo Psychology LLCGroup PAC ID 5294621132, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kalamazoo Psychology, LLC

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1083879852
  Medicare reassignment Care Compare group NPD
• Kalamazoo Psychology

  • Psychologist
  • Kalamazoo, MI
  • NPI 1306145420
  NPD (past)

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1730488446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W SOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074711",
            "telephone_number": "269-349-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W SOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074711",
            "telephone_number": "269-349-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLING",
        "first_name": "MARY",
        "middle_name": "CORINNE",
        "name_prefix": "Ms.",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "L1929389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SPRADLING",
            "middle_name": "CORINNE",
            "prefix": "MS.",
            "credential": "TLLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patricia Spitzer
• Kimberley Ann Spitzner, MSW
• Hailey Sponeman
• Martha Spradlin
• Palin Spradlin, MS, OTRL
• Todd Spratt, RPH
• Carla Joy Springer
• Melody Sprowl, L.P.N.
• Christine Laura Sprung, LLMSW
• John Jeffery Spurr, DDS

• Counseling Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.