Craig M Chittle, MA, LLP, LPC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301011813 Issued in MI

Practice address

714 Main St
Battle Creek, MI 49014-4568

Phone

(269) 979-3881

Fax

(269) 979-2841

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1962443275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N EAGLE LAKE DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098430",
            "telephone_number": "269-598-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490144568",
            "telephone_number": "269-979-3881",
            "fax_number": "269-979-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTLE",
        "first_name": "CRAIG",
        "middle_name": "M",
        "credential": "MA, LLP, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401008151",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLP LICENSE",
            "identifier": "6301011813",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR LICENSE",
            "identifier": "6401008151",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriona Chidester
• Jessika Nicole Chilcote, RN-BSN
• Eric T Childs, DDS
• Lambros C Chilimigras, DDS
• Chiropractic Center of Battle Creek
• Samya Chlebana
• Sung H Cho, MD
• Thomas Yeong Choi, M.D.
• Choicecare III, Inc
• Shruti Chopra, PHARMD

• Psychologist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Psychologist in Michigan

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