KRISTINE ELIZABETH WILMOTH (NPI# 1134558463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134558463 |
| Entity Type | Individual |
| Full Name | KRISTINE ELIZABETH WILMOTH |
| Other Name | KRISTINE ELIZABETH WILMOTH |
| Credential | MS |
| Practice Address |
1050 Silver Dr Traverse City MI 49684-5749 |
| Practice Telephone | 2319472255 |
| Mailing Telephone | (231) 947-2255 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301014161 | MI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301014161 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1050 SILVER DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-5749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124095971 | Brian Albert Ameel | Psychiatry & Neurology | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2006-03-01 |
| 1841800067 | Janelle Marie Youngdahl | Psychologist | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2020-08-03 |
| 1760033070 | Gregory Schroeder | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2019-09-27 |
| 1235695651 | Faith Jessica Huyck | Nurse Practitioner | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2019-02-11 |
| 1760910624 | Jenna Lang | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2017-05-23 |
| 1437527769 | Jennifer Kraus | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2015-09-03 |
| 1982072245 | Paula Ann Kilcherman | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2015-09-03 |
| 1164821245 | Melanie Villanueva | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2014-08-14 |
| 1962826982 | Susan Kirt | Social Worker | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2014-02-11 |
| 1174875710 | Michelle Margaret Markiewicz | Counselor | 1050 Silver Dr, Traverse City, MI 49684-5749 | 2012-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174809511 | Elizabeth G Bruning Phd Pllc | Psychologist | 818 Red Dr, Suite 260, Traverse City, MI 49684-4720 | 2011-10-31 |
| 1528101250 | John Ulrich | Psychologist | 102 W Front St, Suite 402, Traverse City, MI 49684-1201 | 2007-02-14 |
| 1740344456 | Barbara Jones Smith | Psychologist | 921 W 11th St # 1w, Traverse City, MI 49684-3002 | 2006-12-20 |
| 1821150277 | Ralph Ford IIi | Psychologist | 909 Gray Rd, Traverse City, MI 49686-9219 | 2006-12-14 |
| 1528154374 | Frank W. Langer | Psychologist | 525 S. Union St., Traverse City, MI 49684 | 2006-10-05 |
| 1285725424 | Bruce G Douglass | Psychologist | 934 S Garfield Ave Ste C, Traverse City, MI 49686-2402 | 2006-09-27 |
| 1376634519 | Gary Vann | Psychologist | 13561 South West Bayshore Dr., Ste. 317, Traverse City, MI 49684 | 2006-09-27 |
| 1942307566 | Lisa L Franseen | Psychologist | 3180 Racquet Club Dr, Ste G, Traverse City, MI 49684-4797 | 2006-09-17 |
| 1316962392 | James B Morrissey | Psychologist | 4020 Copper View Dr, Traverse City, Traverse City, MI 49684-1364 | 2006-07-12 |
| 1447291687 | Amy Borgman | Psychologist | 697 Hannah Ave, Ste D, Traverse City, MI 49686-3399 | 2006-06-09 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.