Individual provider Active NPI

Katie Maxine Swiderek, PSY. S

  • School Psychologist
  • Muskegon, MI
National Provider Identifier
1285541573
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP0000001248571 Issued in MI
Practice address
5493 Hall Rd
Muskegon, MI 49442-1913
Phone
(231) 788-7300
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X SP0000001248571 MI Primary

Addresses

Primary practice location

5493 Hall Rd
Muskegon, MI 49442-1913

Mailing address

5493 Hall Rd
Muskegon, MI 49442-1913
Phone (231) 788-7300

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1285541573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5493 HALL RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421913",
            "telephone_number": "231-788-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5493 HALL RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421913",
            "telephone_number": "231-788-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIDEREK",
        "first_name": "KATIE",
        "middle_name": "MAXINE",
        "credential": "PSY. S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "MI",
            "license": "SP0000001248571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.