Individual provider Active NPI

Andrew Thomas Katovsich, MA, LLP

  • Counseling Psychologist
  • Saint Joseph, MI
National Provider Identifier
1144361478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301010974 Issued in MI
Practice address
903 Main St
Saint Joseph, MI 49085-1426
Phone
(269) 985-2000
Fax
(269) 985-2002
NPI assigned
Feb 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301010974 MI Primary

Addresses

Primary practice location

903 Main St
Saint Joseph, MI 49085-1426

Mailing address

PO Box 679
Saint Joseph, MI 49085-0679
Phone (269) 985-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301010974MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shepard House Counseling & Psychological Services, P.C. Counseling Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144361478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490850679",
            "telephone_number": "269-985-2000",
            "fax_number": "269-985-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MAIN ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851426",
            "telephone_number": "269-985-2000",
            "fax_number": "269-985-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATOVSICH",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301010974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.