Individual provider Active NPI

Karen S Hermann, PH.D.

  • Clinical Psychologist
  • Portage, MI
National Provider Identifier
1801817077
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012960 Issued in MI
Practice address
1611 W Centre Ave Ste 212
Portage, MI 49024-5344
Phone
(269) 220-1252
Fax
(269) 585-6255
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301012960 MI
Clinical Psychologist 103TC0700X 6301012960 MI Primary

Addresses

Primary practice location

1611 W Centre Ave Ste 212
Portage, MI 49024-5344

Mailing address

9677 Firefly Ave
Galesburg, MI 49053-9700
Phone (269) 779-5630

Other practice location 1

2019 Rambling Rd
Kalamazoo, MI 49008-1630
Phone (269) 345-0909 ext. 403

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
I20071116000608 MI Practitioner - Clinical Psychologist 9931131034

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1611 W Centre Ave
Suite 212
Portage, MI 49024-5344
Phone (269) 220-1252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Hermann Psychological Services LLC Psychologist CurrentSince Aug 26, 2021 Accepting new patients

Locations

5955 W Main St
Ste 206
Kalamazoo, MI 49009
Phone (269) 220-1252

5955 W Main St
Kalamazoo, MI 49009
Phone (269) 203-5933

1611 W Centre Ave
Ste 212
Portage, MI 49024
Phone (269) 447-1150

Organizations & group practices 1

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1801817077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9677 FIREFLY AVE",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490539700",
            "telephone_number": "269-779-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 212",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245344",
            "telephone_number": "269-220-1252",
            "fax_number": "269-585-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 Rambling Rd",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081630",
            "country_code": "US",
            "telephone_number": "269-345-0909 x403",
            "fax_number": "269-345-4985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "KAREN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012960",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.