KRISTIN M EMANUEL (PHD) – Psychologist, NPI 1225323280

KRISTIN M EMANUEL (PHD) is a healthcare provider. based in Zeeland, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6301015211 (MI). The NPI Number for KRISTIN M EMANUEL (PHD) is 1225323280

Main info

Female
Sole Proprietor
14 Years Of Experience
Name
KRISTIN M EMANUEL (PHD)
NPI
1225323280
Phone
(616) 741-3790
Address
8333 Felch St
Enumeration Date
17 June 2011
Last Update Date
24 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694284789
Graduation Year
2012 (14 years ago)
PAC ID
7113241720
Professional Enrollment ID
I20150129002465
Address ID
MI490859581SA3573XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for KRISTIN M EMANUEL (PHD)

  • 8333 Felch St

    Zeeland, MI 494642608

    Phone: (616) 741-3790

    Type: Location

  • 3408 NILES RD

    SAINT JOSEPH, MI 490858628

    Phone: (692) 428-4789

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150129002465IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49464)

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Reviews

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Frequently asked questions

How is KRISTIN M EMANUEL (PHD) identified in CMS data?
CMS-hosted NPPES data lists KRISTIN M EMANUEL (PHD) with NPI 1225323280.
Can I rely on KRISTIN M EMANUEL (PHD) being an active provider?
As of the registry snapshot, KRISTIN M EMANUEL (PHD) is marked active.
What is KRISTIN M EMANUEL (PHD)'s primary classification?
Psychologist is the headline specialty for KRISTIN M EMANUEL (PHD) here. Clinical services aligned with this taxonomy classification.
Where is KRISTIN M EMANUEL (PHD) based?
KRISTIN M EMANUEL (PHD) is tied to Zeeland, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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