Kathryn Penfold M., SC, LLC
NPI 1205223468ActiveOrganization· Psychologist, Clinical· Traverse City, MI
Psychologist, Clinical in Traverse City, Michigan, registered in NPPES in April 2015. The authorized official on file is Kathryn J. Penfold, M, SC, Sole Member.
Overview
| NPI | 1205223468 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2015 |
| Last updated in NPPES | Apr 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301008173 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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