CK Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CK PSYCHOLOGICAL SERVICES

Practice address

215 Ann Arbor Rd W Ste 206
Plymouth, MI 48170-2251

Phone

(313) 687-4112

NPI assigned

Jan 7, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Celena N KhatibNPI 1336564970

Title

Owner

Phone

(313) 687-4112

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celena N Khatib, M.S.

  • Clinical Psychologist
  • Plymouth, MI
  • NPI 1336564970
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1083254031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48356 WADEBRIDGE DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871225",
            "telephone_number": "734-306-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ANN ARBOR RD W STE 206",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702251",
            "telephone_number": "313-687-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "KHATIB",
        "authorized_official_first_name": "CELENA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-687-4112"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336564970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED LICENSE PSYCHOLOGIST",
            "identifier": "6301015851",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari Cimino, MS
• Adalys Cintron
• Dawn Renee Cipa, NP-C
• Kaitlin Cirrito
• Stephanie Citron
• Clarity Forest, PLLC
• Austin Clark, CCP
• Curtis Clark
• Debra Clark
• Felicia Clark

• Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.