Active NPI
Kathy Jean Sparks, M.S.,L.L.P.
- Cognitive & Behavioral Psychologist
- Farmington Hills, MI
National Provider Identifier
1477711828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 6301009986
- Practice address
- 32910 W 13 Mile Rd
Suite D-402
Farmington Hills, MI 48334-1980 - Phone
- (248) 737-4616
- NPI assigned
- May 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 6301009986 | MI | Primary |
Addresses
Primary practice location
32910 W 13 Mile Rd
Suite D-402
Farmington Hills, MI 48334-1980
Mailing address
44736 Huntington Dr
Novi, MI 48375-2220
Phone (248) 349-0549
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301009986 | MI | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1477711828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44736 HUNTINGTON DR",
"city": "NOVI",
"state": "MI",
"postal_code": "483752220",
"telephone_number": "248-349-0549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32910 W 13 MILE RD",
"address_2": "SUITE D-402",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341980",
"telephone_number": "248-737-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "KATHY",
"middle_name": "JEAN",
"credential": "M.S.,L.L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-31",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MI",
"license": "6301009986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.