Cathy Joan Pietrofesa, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301005792 Issued in MI

Practice address

74 W Long Lake Rd
Suite 104
Bloomfield Hills, MI 48304-2769

Phone

(248) 642-6066

Fax

(248) 642-5739

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Affiliated Psychologists of Michigan, P.C.

  • Psychologist
  • Bloomfield Hills, MI
  • NPI 1396918199
  Medicare reassignment NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215081971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483030099",
            "telephone_number": "248-642-6066",
            "fax_number": "248-642-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W LONG LAKE RD",
            "address_2": "SUITE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042769",
            "telephone_number": "248-642-6066",
            "fax_number": "248-642-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETROFESA",
        "first_name": "CATHY",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301005792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "047341",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Phillips, LPC, NCC
• Physician Universe, PLLC
• Physicians Compounding Pharmacy
• Sherry Lee Pianko, LMSW
• Albert Pierce, MD
• John Joseph Pietrofesa, ED.D.
• Rossitza Prokopieva Pironkova, M.D.
• Jennifer Rebecca Pitts, DPT
• Jennifer Leigh Place, OD
• Mark A Pleatman, M.D.

• Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Psychologist in Michigan

• 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.
• 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.

Verify at the official NPI Registry.