Alan John Kreutzberg, ACSW MSW LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801012845 Issued in MI

Practice address

5031 Park Lake Road
Meridian Professional Psychological Consultants PC
East Lansing, MI 48823

Phone

(517) 332-0811

Fax

(517) 332-4452

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Meridian Professional Psychological Consultants

  • Psychiatry Physician
  • East Lansing, MI
  • NPI 1225150139
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831219104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 PARK LAKE ROAD",
            "address_2": "MERIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS PC",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-332-0811",
            "fax_number": "517-332-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 PARK LAKE ROAD",
            "address_2": "MERIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS PC",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-332-0811",
            "fax_number": "517-332-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUTZBERG",
        "first_name": "ALAN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "ACSW MSW LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801012845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kramer, PHARMD
• Michael Kramer
• Robert Kranich
• Karrie Karrie Krapohl, OTR
• Allegra Kremkus, LMSW
• Scott A Kribs, D.C.
• Kirthika Uma Krishnan
• Kroger Co of Michigan
• Lori Jean Kron-Naughton, PSYD
• Timothy Krzys, MSN, RN

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.