Active NPI
George Keith Lockwood, PH.D.
- Psychologist
- Kalamazoo, MI
National Provider Identifier
1871642231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301011315
- Practice address
- 471 W South St Ste 41C
Kalamazoo, MI 49007-4673 - Phone
- (269) 345-8100
- Fax
- (269) 345-8262
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301011315 | MI | Primary |
Addresses
Primary practice location
471 W South St Ste 41C
Kalamazoo, MI 49007-4673
Mailing address
471 W South St Ste 41C
Kalamazoo, MI 49007-4673
Phone (269) 345-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680C946330 | Other | MI | BCBS NUMBER |
| P108015 | Other | MI | BCN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110106000790 | MI | Practitioner - Clinical Psychologist | 0941499982 | Practice locations: Kalamazoo, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
471 W S St
Kalamazoo, MI 49007-4673
Phone (269) 345-8100
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": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871642231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 W SOUTH ST STE 41C",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490074673",
"telephone_number": "269-345-8100",
"fax_number": "269-345-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 W SOUTH ST STE 41C",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490074673",
"telephone_number": "269-345-8100",
"fax_number": "269-345-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "GEORGE",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301011315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "680C946330",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P108015",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.