NPIMap

Organization Active NPI

David Klimek PHD PC

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1265653182
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301002261 Issued in MI
Legal business name
DAVID KLIMEK PHD PC
Practice address
2200 Fuller CT
Suite 1101B
Ann Arbor, MI 48105-2311
Phone
(734) 995-0999
NPI assigned
May 1, 2007
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Dr. David E. Klimek, PH.D.NPI 1881815629
Title
President, Chief Psychologist
Phone
(734) 995-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301002261 MI Primary

Addresses

Primary practice location

2200 Fuller CT
Suite 1101B
Ann Arbor, MI 48105-2311

Mailing address

2200 Fuller CT
Suite 1101B
Ann Arbor, MI 48105-2311
Phone (734) 995-0999

National Provider Directory

National Provider Directory

Locations

2200 Fuller Ct
Ste 1101B
Ann Arbor, MI 48105
Phone (734) 995-0999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1265653182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FULLER CT",
            "address_2": "SUITE 1101B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052311",
            "telephone_number": "734-995-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FULLER CT",
            "address_2": "SUITE 1101B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052311",
            "telephone_number": "734-995-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KLIMEK PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "KLIMEK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT, CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-995-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.