Individual provider Active NPI

Lori A Katzman, M.D.

  • Psychiatry Physician
  • Charlevoix, MI
National Provider Identifier
1467516476
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301052118 Issued in MI
Practice address
14695 Park Ave
Charlevoix, MI 49720-1920
Phone
(231) 547-1252
Fax
(231) 547-8897
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301052118 MI Primary

Addresses

Primary practice location

14695 Park Ave
Charlevoix, MI 49720-1920

Mailing address

14709 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-1252

Other identifiers 2

IdentifierTypeStateIssuer
4477169MedicaidMI
BK2236138OtherD.E.A. NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LORIKATZMAN@cah.cernerdirect.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101223000273 MI Practitioner - Psychiatry 9931397510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare Charlevoix HospitalGroup PAC ID 4284528035, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

223 N Park St
Charlevoix Area Hospital
Boyne City, MI 49712-1220
Phone (231) 582-5314

Hospital & facility affiliations

  • Charlevoix Area Hospital Hospital, Charlevoix, MI, CCN 231322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301052118MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Charlevoix Hospital CurrentSince Jun 1, 2016 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Jan 18, 2017 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Jun 1, 2016 Accepting new patients
Munson Healthcare Charlevoix Hospital Current Accepting new patients
North Country Community Mental Health Past Accepting new patients
North Country Community Mental Health Past Accepting new patients

Locations

223 N Park St
Boyne City, MI 49712
Phone (231) 582-5314

14705 W Upright St
Charlevoix, MI 49720
Phone (231) 547-6519

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

14709 W Upright St
Charlevoix, MI 49720
Phone (231) 547-6519

14695 Park Ave
Charlevoix, MI 49720
Phone (231) 547-2812

Interoperability endpoints

  • Direct secure messaging: lorikatzman@cah.cernerdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1467516476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14709 W UPRIGHT ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201949",
            "telephone_number": "231-547-1252",
            "fax_number": "231-547-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14695 PARK AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201920",
            "telephone_number": "231-547-1252",
            "fax_number": "231-547-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZMAN",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301052118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4477169",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.E.A. NUMBER",
            "identifier": "BK2236138",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LORIKATZMAN@cah.cernerdirect.com",
            "affiliation": "N",
            "address_1": "14695 Park Ave",
            "city": "Charlevoix",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497201920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

Verify at the official NPI Registry.