Active NPI
Bernadette Starr Kovach, PH.D.
- Clinical Psychologist
- Farmington Hills, MI
National Provider Identifier
1548336324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 631012246
- Practice address
- 31731 Northwestern Hwy Ste 110E
Farmington Hills, MI 48334-1654 - Phone
- (734) 812-1157
- NPI assigned
- Nov 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301012246 | MI | |
| Clinical Psychologist | 103TC0700X | 631012246 | MI | Primary |
Addresses
Primary practice location
31731 Northwestern Hwy Ste 110E
Farmington Hills, MI 48334-1654
Mailing address
31731 Northwestern Hwy Ste 110E
Farmington Hills, MI 48334-1654
Phone (734) 812-1157
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OH073475 | Other | BCBS GROUP | |
| OH73060 | Other | MI | BCBS |
Other names 1
- Bernadette Starr Kovach PHD., PLLC
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301012246 | MI | MD | Psychologist |
| 631012246 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1548336324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31731 NORTHWESTERN HWY STE 110E",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341654",
"telephone_number": "734-812-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31731 NORTHWESTERN HWY STE 110E",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341654",
"telephone_number": "734-812-1157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACH",
"first_name": "BERNADETTE",
"middle_name": "STARR",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-26",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301012246",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "631012246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "OH073475",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "OH73060",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BERNADETTE",
"last_name": "KOVACH PHD., PLLC",
"middle_name": "STARR",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}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 Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.