Active NPI
Kimberly Lou Christopherson, MA, LLP
- Intellectual & Developmental Disabilities Psychologist
- Howell, MI
National Provider Identifier
1811333495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- 6301008541
- Practice address
- 2280 E Grand River Ave
Howell, MI 48843-8503 - Phone
- (517) 546-4126
- Fax
- (517) 546-1300
- NPI assigned
- May 22, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 6301008541 | MI | Primary |
Addresses
Primary practice location
2280 E Grand River Ave
Howell, MI 48843-8503
Mailing address
2280 E Grand River Ave
Howell, MI 48843-8503
Phone (517) 546-4126
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008541 | MI | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1811333495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438503",
"telephone_number": "517-546-4126",
"fax_number": "517-546-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438503",
"telephone_number": "517-546-4126",
"fax_number": "517-546-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOPHERSON",
"first_name": "KIMBERLY",
"middle_name": "LOU",
"credential": "MA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MI",
"license": "6301008541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.