Active NPI
Esra Karaca, PSYD
- Clinical Neuropsychologist
- Bloomfield Hills, MI
National Provider Identifier
1508286006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6301015831
- Practice address
- 40950 Woodward Ave
Ste 303
Bloomfield Hills, MI 48304-5127 - Phone
- (248) 270-7808
- NPI assigned
- Apr 23, 2014
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6301015831 | MI | Primary |
Addresses
Primary practice location
40950 Woodward Ave
Ste 303
Bloomfield Hills, MI 48304-5127
Mailing address
20050 Quail Ridge CT
Beverly Hills, MI 48025-2851
Phone (248) 202-1567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1508286006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20050 QUAIL RIDGE CT",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480252851",
"telephone_number": "248-202-1567",
"fax_number": "248-642-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40950 WOODWARD AVE",
"address_2": "STE 303",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483045127",
"telephone_number": "248-270-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARACA",
"first_name": "ESRA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "6301015831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.