Prospicare PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016014 Issued in MI

Legal business name

PROSPICARE PLLC

Practice address

1409 Cherokee St
Kalamazoo, MI 49006-2015

Phone

(269) 352-7922

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phyllis M. Florian, PSY.D

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1023238623
  Medicare reassignment NPD

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1972041648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 CHEROKEE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062015",
            "telephone_number": "269-352-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 CHEROKEE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062015",
            "telephone_number": "269-352-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPICARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9788"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promed Healthcare Nurse Practitioners
• Nathan Prong
• Steven Paul Proper, D.O., PH.D.
• Cecilia Marie Prophit, M.D.
• Prosperous Hands Home Care
• Daryel Pruitt, LMT
• Brandy Pryor
• Jennifer Pryor, MD
• Matthew Ryan Pryor, MD
• Psychological Transformations PLLC

• Clinical Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.