Organization Active NPI

Karen C. Mikus, PHD, PC

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1528295722
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
KAREN C. MIKUS, PHD, PC
Practice address
1945 Pauline Blvd
Suite 21-B
Ann Arbor, MI 48103-5047
Phone
(734) 761-7247
NPI assigned
Jun 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Dr. Karen C. Mikus, PH.D.NPI 1912020660
Title
President
Phone
(734) 761-7247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1945 Pauline Blvd
Suite 21-B
Ann Arbor, MI 48103-5047

Mailing address

1945 Pauline Blvd
Suite 21-B
Ann Arbor, MI 48103-5047
Phone (734) 761-7247

Other identifiers 1

IdentifierTypeStateIssuer
68-0-H1-1474-0OtherMIBLUE CROSS BLUE SHIELD PIN

National Provider Directory

National Provider Directory

Locations

1945 Pauline Blvd
Ste 21B
Ann Arbor, MI 48103
Phone (734) 761-7247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1528295722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 PAULINE BLVD",
            "address_2": "SUITE 21-B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035047",
            "telephone_number": "734-761-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 PAULINE BLVD",
            "address_2": "SUITE 21-B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035047",
            "telephone_number": "734-761-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN C. MIKUS, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "MIKUS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-761-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PIN",
            "identifier": "68-0-H1-1474-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.