Organization Active NPI

Shoshana Katz PHD PLLC

  • Clinical Psychologist
  • Royal Oak, MI
National Provider Identifier
1336575802
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014093 Issued in MI
Legal business name
SHOSHANA KATZ PHD PLLC
Practice address
217 Knowles St
Royal Oak, MI 48067-2767
Phone
(248) 470-0231
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Dr. Shoshana Katz, PHDNPI 1558508044
Title
Clinical Psychologist
Phone
(248) 470-0231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301014093 MI Primary

Addresses

Primary practice location

217 Knowles St
Royal Oak, MI 48067-2767

Mailing address

17000 Jeanette St
Southfield, MI 48075-7019
Phone (248) 470-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140221000108 MI Part B Supplier - Clinic/Group Practice 0345470209 Receives reassigned benefits from 1 practitioner
Practice locations: Bingham Farms, MI

National Provider Directory

National Provider Directory

Locations

30300 Telegraph Rd
Ste 125
Bingham Farms, MI 48025
Phone (248) 330-2474

31000 Telegraph Rd
Ste 280
Bingham Farms, MI 48025
Phone (248) 470-0231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1336575802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 JEANETTE ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757019",
            "telephone_number": "248-470-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 KNOWLES ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672767",
            "telephone_number": "248-470-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOSHANA KATZ PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-470-0231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.