DR. KATHLEEN PICCOLI PSYD
NPI 1871267930
Psychologist in Grand Rapids, MI

Active since August 03, 2021PECOS EnrolledAccepts Medicare Assignment
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503(616) 840-8668(616) 840-9762 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2025, Jul 10, 2024, Jan 7, 2023 and 1 more (4 updates tracked since 2021).

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

NPI1871267930
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KATHLEEN PICCOLICredential: PSYD
Location Address235 WEALTHY ST SEGrand Rapids, MI 49503-5247
Mailing Address235 Wealthy St SeGrand Rapids, MI 49503-5247 · (616) 840-8668 · Fax (616) 840-9762
Fax(616) 840-9762
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 3, 2021
Last NPPES UpdateFebruary 3, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1871267930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MI · 6301019499 Licensed in CO · 0006030
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301019499 (MI)
235 WEALTHY ST SE, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 11550 3 Mile Rd NW Ste CGrand Rapids, MI 49544-8251 · Phone (616) 840-8807 · Fax (616) 840-9684

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3779028469
PECOS Enrollment IDI20240717004674
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Dietitian, Registered
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Behavior Analyst
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Internal Medicine
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503

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.

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 4 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 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.