Kimberly Ann Schumacher, PHD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017330 Issued in MI

Practice address

4912 E Pickard St
Mt Pleasant, MI 48858-2080

Phone

(989) 832-2165

NPI assigned

Jan 31, 2018

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

• Kimberly Ann Maurelli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851899223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W WACKERLY ST STE 11",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402769",
            "telephone_number": "989-832-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 E PICKARD ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582080",
            "telephone_number": "989-832-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 W Wackerly St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486402769",
            "country_code": "US",
            "telephone_number": "989-832-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MAURELLI",
            "middle_name": "ANN",
            "credential": "PHD, LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paulette Schubart, PT
• Brandy Schuelke, RPH
• Sarah Schuetz, R.D.
• Bethany Schultz
• Jody Marie Schumacher
• Sage Elizabeth Schumacher
• Averie Isabell Schweinsberg
• Aricka Schweitzer, OTRL, C/NDT
• Scott Chiropractic Life Center PC
• Deanna Scott-Hicks, MA, LPC

• Clinical Psychologist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.