Individual provider Active NPI

Christine Elizabeth Feick, LP

  • Clinical Psychologist
  • Monroe, MI
National Provider Identifier
1497890164
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015003 Issued in MI
Practice address
23 W 1St St
Monroe, MI 48161-2332
Phone
(734) 639-2262
Fax
(734) 621-5075
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086136 MI
Clinical Psychologist 103TC0700X 6301015003 MI Primary

Addresses

Primary practice location

23 W 1St St
Monroe, MI 48161-2332

Mailing address

23 W 1St St
Monroe, MI 48161-2332
Phone (734) 639-2262

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
I20161011001174 MI Practitioner - Clinical Psychologist 7911075304 Reassigns benefits to 1 organization
Practice locations: Monroe, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Operations LLCGroup PAC ID 5799179123, 5 clinicians

Practice addresses (Care Compare)

23 W 1St St
Monroe, MI 48161-2332
Phone (734) 639-2262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801086136MIMDClinical Social Worker

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1497890164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W 1ST ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612332",
            "telephone_number": "734-639-2262",
            "fax_number": "734-621-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W 1ST ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612332",
            "telephone_number": "734-639-2262",
            "fax_number": "734-621-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEICK",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086136",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.