Active NPI
Brett Michael Karpack
- Psychologist
- Plymouth, MI
National Provider Identifier
1366296782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362002753
- Practice address
- 42207 Ann Arbor Rd E
Plymouth, MI 48170-4364 - Phone
- (248) 985-3580
- NPI assigned
- Apr 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6362002753 | MI | Primary |
Addresses
Primary practice location
42207 Ann Arbor Rd E
Plymouth, MI 48170-4364
Mailing address
7042 Meadowbrook Dr
Canton, MI 48187-3554
Phone (734) 890-3984
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362002753 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1366296782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7042 MEADOWBROOK DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481873554",
"telephone_number": "734-890-3984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42207 ANN ARBOR RD E",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704364",
"telephone_number": "248-985-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARPACK",
"first_name": "BRETT",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-12",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362002753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.