Individual provider Active NPI

Carol Ann Stratman, PHD

  • Clinical Psychologist
  • Royal Oak, MI
National Provider Identifier
1366588931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006664 Issued in MI
Practice address
217 Knowles St
Royal Oak, MI 48067-2767
Phone
(248) 398-2534
Fax
(248) 398-6448
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301006664 MI Primary

Addresses

Primary practice location

217 Knowles St
Royal Oak, MI 48067-2767

Mailing address

217 Knowles St
Royal Oak, MI 48067-2767
Phone (248) 398-2534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000136 MI Practitioner - Clinical Psychologist 2264692417 Practice locations: Royal Oak, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

905 S Ctr St
Royal Oak, MI 48067-3230
Phone (248) 398-2531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366588931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 KNOWLES ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672767",
            "telephone_number": "248-398-2534",
            "fax_number": "248-398-6448"
        },
        {
            "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": "248-398-2534",
            "fax_number": "248-398-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATMAN",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.