KRISTINE A PETLICK
NPI 1144499864
Psychologist in Stevensville, MI

Active since February 27, 2008
5675 FAIRVIEW ST, STEVENSVILLE, MI 49127(269) 429-7727(269) 429-5754 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristine A Petlick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE A PETLICK (NPI 1144499864) is an individual psychologist in Stevensville, Michigan, licensed in Michigan (6361005132) and active in the NPI registry since February 2008. She maintains a secondary practice location in Benton Harbor.

NPPES Registry Identity

NPI1144499864
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKRISTINE A PETLICK
Location Address5675 FAIRVIEW STStevensville, MI 49127-1033
Mailing Address5675 Fairview StStevensville, MI 49127-1033 · (269) 429-7727 · Fax (269) 429-5754
Fax(269) 429-5754
Sole ProprietorNo
Enumeration DateFebruary 27, 2008
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1144499864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MI · 6361005132 Licensed in MI · 6301013815
Definition
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.
5675 FAIRVIEW ST, Stevensville, MI 49127

Secondary Practice Location 1

Location 1133 W Main StBenton Harbor, MI 49022-3607 · Phone (269) 408-2258

Accepted Insurance

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
5675 FAIRVIEW ST
STEVENSVILLE, MI 49127
Social Worker
5675 FAIRVIEW ST
STEVENSVILLE, MI 49127
Clinic/Center
5675 FAIRVIEW ST
STEVENSVILLE, MI 49127
Counselor (Professional)
5675 FAIRVIEW ST
STEVENSVILLE, MI 49127
Counselor (Professional)
5675 FAIRVIEW ST
STEVENSVILLE, MI 49127
Counselor (Professional)
5675 FAIRVIEW ST
STEVENSVILLE, MI 49127
Counselor
5675 FAIRVIEW ST
STEVENSVILLE, MI 49127
Counselor (Professional)
5675 FAIRVIEW ST
STEVENSVILLE, MI 49127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Petlick's NPI number?

The NPI number for Kristine Petlick is 1144499864. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is Kristine Petlick located?

Kristine Petlick practices at 5675 Fairview St, Stevensville, MI 49127. The listed phone number is (269) 429-7727.

What is Kristine Petlick's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Kristine Petlick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kristine Petlick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristine Petlick was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.