Jan L Gulliver-Kline, LMSW ACSW

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6801019630 Issued in MI

Practice address

425 N. Michigan Avenue
Suite C
Beulah, MI 49617

Phone

(231) 882-5514

Fax

(231) 882-5517

NPI assigned

Nov 2, 2005

Last updated

Jan 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frank Langer, PH.D., P.C.

  dba Frank Langer, Ph.D

  • Psychologist
  • Beulah, MI
  • NPI 1568639144
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1932190428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N. MICHIGAN AVENUE",
            "address_2": "SUITE C",
            "city": "BEULAH",
            "state": "MI",
            "postal_code": "49617",
            "telephone_number": "231-882-5514",
            "fax_number": "231-882-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N. MICHIGAN AVENUE",
            "address_2": "SUITE C",
            "city": "BEULAH",
            "state": "MI",
            "postal_code": "49617",
            "telephone_number": "231-882-5514",
            "fax_number": "231-882-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLIVER-KLINE",
        "first_name": "JAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMSW ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6801019630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Benzie (Benzie County EMS)
• Amy Joy Eady, NP-C
• Anna Maria Feala
• Frank Langer, PH.D., P.C. (Frank Langer, Ph.D)
• Frankfort Family Care
• Gary Lynn Jarrold, D.D.S.
• Angelique Y Lange, LMSW
• PJ Lenhard
• Lisa M Musgrave DDS, PLLC
• Roberta A Marshall, MA, LLP

• Psychologist in Beulah, MI
• Providers in Beulah, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.