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KATHRYN PENFOLD M., SC, LLC
NPI 1205223468
Psychologist - Clinical in Traverse City, MI

Active since April 24, 2015
820 W FRONT ST, TRAVERSE CITY, MI 49684(231) 590-6242 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathryn Penfold M., Sc, Llc NPPES

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

KATHRYN PENFOLD M., SC, LLC (NPI 1205223468) is a healthcare organization registered as a clinical in Traverse City, Michigan and active in the NPI registry since April 2015. The organization lists Kathryn J Penfold, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1205223468
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKATHRYN PENFOLD M., SC, LLC
Location Address820 W FRONT STTraverse City, MI 49684-2466
Mailing Address820 W Front StTraverse City, MI 49684-2466 · (231) 590-6242
Phone(231) 590-6242
Organization SubpartNo
Authorized OfficialKathryn J PenfoldSole Member · (231) 590-6242
Enumeration DateApril 24, 2015
✔ NPI 1205223468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301008173
Definition
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.
820 W FRONT ST, Traverse City, MI 49684
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Other Identifiers 1

Other1336325281MI · Individual Npi Of Sole Member

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

JENNIFER SUPERSON LMSW
Social Worker (Clinical)
820 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-1710
MS. KATHRYN PENFOLD M.SC
Psychologist (Clinical)
820 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 590-6242
DR. GREGORY A HOLMES PHD
Psychologist (Counseling)
820 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-1963
EMERGING WHOLE THERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
820 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 715-1710
KATHERINE A ROTH MD
Family Medicine
820 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0848
COURAGE AND CONTEXT, PLLC
Psychologist (Clinical)
820 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 492-0394
KATHERINE A ROTH MD PLC
Clinic/Center (Primary Care)
820 W FRONT ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0848

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 Kathryn Penfold M., Sc, LLC's NPI number?

The NPI number for Kathryn Penfold M., Sc, LLC is 1205223468. It was assigned to this organization in the NPPES registry on April 24, 2015.

Where is Kathryn Penfold M., Sc, LLC located?

Kathryn Penfold M., Sc, LLC is located at 820 W Front St, Traverse City, MI 49684. The listed phone number is (231) 590-6242.

What is Kathryn Penfold M., Sc, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kathryn Penfold M., Sc, LLC was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.