Active NPI
Karolyn Rose Coulouris, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704320977
- Practice address
- 39465 W 14 Mile Rd
Novi, MI 48377-1600 - Phone
- (877) 906-9699
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704320977 | MI | Primary |
Addresses
Primary practice location
39465 W 14 Mile Rd
Novi, MI 48377-1600
Mailing address
510 Hempstead Tpke RM 203
West Hempstead, NY 11552-1152
Phone (516) 505-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Michigan Medical School, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
39465 W 14 Mile Rd
Novi, MI 48377-1600
Phone (877) 906-9699
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.96 of 100
- Quality
- 21.71
- Promoting interoperability
- 12
- Improvement activities
- 40
- Cost
- 78.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704320977 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldad Medical PC | Current | Accepting new patients | |
| Behavioral Care Solutions for Adults and Seniors, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Aldad Medical PC | Current | Accepting new patients |
Locations
2723 S State St
Ste 150
Ann Arbor, MI 48104
Phone (734) 316-7880
400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582
39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000
510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Novi, MI
- NPI 1154727147
Psychiatric/Mental Health
-
- Psychiatry Physician
- Detroit, MI
- NPI 1154088771
-
- Psychiatry Physician
- Boston, MA
- NPI 1588310650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1104522770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 HEMPSTEAD TPKE RM 203",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115521152",
"telephone_number": "516-505-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39465 W 14 MILE RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483771600",
"telephone_number": "877-906-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULOURIS",
"first_name": "KAROLYN",
"middle_name": "ROSE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704320977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.