Individual provider Active NPI

Kathleen Naomi Griffin, PH.D.

  • Clinical Psychologist
  • Kalamazoo, MI
National Provider Identifier
1831180751
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008379 Issued in MI
Practice address
309 W Walnut St
Kalamazoo, MI 49007-5176
Phone
(269) 342-2897
Fax
(269) 344-5819
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301008379 MI Primary

Addresses

Primary practice location

309 W Walnut St
Kalamazoo, MI 49007-5176

Mailing address

3068 Springbrook Dr
Kalamazoo, MI 49004-9672
Phone (269) 342-2897

Other identifiers 1

IdentifierTypeStateIssuer
680C94576OtherMIBCBS NONPAR PROVIDER #

Other names 1

  • Dr. Kathleen Naomi Griffin-Stegink Other name

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
I20070515000086 MI Practitioner - Clinical Psychologist 1355448077 Practice locations: Kalamazoo, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

309 W Walnut St
Kalamazoo, MI 49007-5176
Phone (269) 342-2897

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1831180751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 SPRINGBROOK DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490049672",
            "telephone_number": "269-342-2897",
            "fax_number": "269-344-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W WALNUT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075176",
            "telephone_number": "269-342-2897",
            "fax_number": "269-344-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KATHLEEN",
        "middle_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NONPAR PROVIDER #",
            "identifier": "680C94576",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "GRIFFIN-STEGINK",
            "middle_name": "NAOMI",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.