Active NPI
Karolina Maria Redziniak, MA, TLLP
- Family Psychologist
- Rochester Hills, MI
National Provider Identifier
1457667651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 6301014553
- Practice address
- 441 S Livernois Rd
Suite 205
Rochester Hills, MI 48307-2584 - Phone
- (248) 608-8800
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 6301014553 | MI | Primary |
Addresses
Primary practice location
441 S Livernois Rd
Suite 205
Rochester Hills, MI 48307-2584
Mailing address
441 S Livernois Rd
Suite 205
Rochester Hills, MI 48307-2584
Phone (248) 608-8800
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014553 | MI | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1457667651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 S LIVERNOIS RD",
"address_2": "SUITE 205",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483072584",
"telephone_number": "248-608-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 S LIVERNOIS RD",
"address_2": "SUITE 205",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483072584",
"telephone_number": "248-608-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDZINIAK",
"first_name": "KAROLINA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "MA, TLLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MI",
"license": "6301014553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.