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KLOTT PSYCHOLOGICAL SERVICES PLLC NPI 1053652909


NPI Information

NPI: 1053652909
Provider Name: KLOTT PSYCHOLOGICAL SERVICES PLLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
233 FULTON ST E
SUITE 24
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 204-5828
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KLOTT PSYCHOLOGICAL SERVICES PLLC is a clinical psychologist in Grand Rapids, MI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. KLOTT PSYCHOLOGICAL SERVICES PLLC NPI is 1053652909. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

233 FULTON ST E
SUITE 24
GRAND RAPIDS, MI
ZIP 49503-200
Phone: (616) 204-5828

The provider's authorized official is Rebecca Ann Klott .
The authorized official title is Owner and has the following contact phone number (616) 204-5828.

The enumeration date for this NPI number is 3/1/2013 and was last updated on 3/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist6301015303MICHIGANNo
2103TC1900XPsychologistCounseling6301015303MICHIGANNo
3103TC2200XPsychologistClinical Child & Adolescent6301015303MICHIGANNo
4103TF0000XPsychologistFamily6301015303MICHIGANNo
5103TH0100XPsychologistHealth Service6301015303MICHIGANNo
6103TP2701XPsychologistGroup Psychotherapy6301015303MICHIGANNo
7103TC0700XPsychologistClinical6301015303MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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