Individual provider Active NPI

Katalin Marianna Woods, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1386471340
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704283648 Issued in MI
Practice address
28592 Orchard Lake Rd Ste 333
Farmington Hills, MI 48334-2903
Phone
(248) 865-7271
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704283648 MI Primary

Addresses

Primary practice location

28592 Orchard Lake Rd Ste 333
Farmington Hills, MI 48334-2903

Mailing address

28592 Orchard Lake Rd Ste 333
Farmington Hills, MI 48334-2903
Phone (248) 865-7271

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112002217 MI Practitioner - Nurse Practitioner 7214461383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Lakes Psychiatric Associates PLLCGroup PAC ID 0749528636, 8 clinicians

Practice addresses (Care Compare)

28580 Orchard Lake Rd
Suite 104
Farmington Hills, MI 48334-2988
Phone (248) 865-7271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Psychiatric Associates, PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

15175 S Dixie Hwy
Ste A
Monroe, MI 48161
Phone (734) 244-4285

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1386471340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD STE 333",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342903",
            "telephone_number": "248-865-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD STE 333",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342903",
            "telephone_number": "248-865-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KATALIN",
        "middle_name": "MARIANNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704283648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.