DR. KATHLEEN PICCOLI PSYD
NPI 1871267930
Psychologist in Grand Rapids, MI
About Dr. Kathleen Piccoli Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN PICCOLI PSYD (NPI 1871267930) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (6301019499) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kathleen Piccoli Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Piccoli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 209 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathleen Piccoli's NPI number?
The NPI number for Kathleen Piccoli is 1871267930. It was assigned to this individual provider in the NPPES registry on August 3, 2021.
Where is Kathleen Piccoli located?
Kathleen Piccoli practices at 235 Wealthy St SE, Grand Rapids, MI 49503. The listed phone number is (616) 840-8668.
What is Kathleen Piccoli's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kathleen Piccoli enrolled in Medicare?
Yes. Kathleen Piccoli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kathleen Piccoli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Piccoli reassigns Medicare benefits to Mary Free Bed Rehabilitation Hospital (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Piccoli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Piccoli 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 3 other insurers list Kathleen Piccoli 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 Kathleen Piccoli was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.