Active NPIIndividual provider

Dr. Michael Kruepke

Psychologist, Clinical in Charlotte Hall, Maryland

NPI Number1427643717
Practice location
29640 Three Notch RD, Charlotte Hall, MD 20622-3244
Fax
—
Last updated
April 6, 2025

Michael Kruepke is a Psychologist, Clinical based in Charlotte Hall, MD. Michael Kruepke practices in Charlotte Hall, MD. The NPI Number for Michael Kruepke is 1427643717 and holds a License No. 3930-57 (WI). The current practice location address for Michael Kruepke is 29640 Three Notch RD, Charlotte Hall, MD 20622-3244 and can be reached out via phone at 301-884-7102.

Provider Profile Details

NPI Number
1427643717
Provider Name
Michael Kruepke
Provider Entity Type
Individual
Gender
Male
Address
29640 Three Notch RD, Charlotte Hall, MD 20622-3244
Phone Number
301-884-7102
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
March 8, 2021
Last Update Date
April 6, 2025
Certification Date
April 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
29640 Three Notch RD
Charlotte Hall, MD 20622-3244
Zip
20622-3244
Phone Number
301-884-7102
Charlotte Hall, MD 20622Get directions →

Provider Business Mailing Address Details

Address
45 Byard Ln
Westborough, MA 01581-2640
City
Westborough
State
MA
Zip
01581-2640
Phone Number
262-483-7449

License Information

License Number (1)
3930-57
License State (1)
WI
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
06757
License State (2)
MD
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael Kruepke?

The NPI number of Dr. Michael Kruepke is 1427643717. It was assigned on March 8, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael Kruepke?

Dr. Michael Kruepke is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in WI under license number 3930-57.

Where does Dr. Michael Kruepke practice?

The practice location is 29640 Three Notch RD, Charlotte Hall, MD 20622-3244. The office can be reached at 301-884-7102 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427643717 directly on the NPPES registry website.

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