Individual provider Active NPI

Caitlin Caprice Erdman, PHD

  • Counseling Psychologist
  • Traverse City, MI
National Provider Identifier
1578050159
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301018294 Issued in MI
Practice address
880 Munson Ave Ste E1
Traverse City, MI 49686-3661
Phone
(231) 431-0300
Fax
(231) 431-0310
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301017333 MI
Counseling Psychologist 103TC1900X 6301018294 MI Primary

Addresses

Primary practice location

880 Munson Ave Ste E1
Traverse City, MI 49686-3661

Mailing address

880 Munson Ave Ste E1
Traverse City, MI 49686-3661
Phone (231) 431-0300

Other practice location 1

1015 Noteware Dr Unit G
Traverse City, MI 49686-8109
Phone (231) 431-0300

Other practice location 2

1055 Gezon Pkwy SW
Wyoming, MI 49509-9542
Phone (616) 773-2908

Other names 1

  • Dr. Caitlin Caprice Anderson Former name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301017333MIMDCounseling Psychologist
6301018294MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Caitlin Erdman Counseling LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

1015 Noteware Dr
Ste G
Traverse City, MI 49686
Phone (231) 431-0300

880 Munson Ave
Ste E1
Traverse City, MI 49686
Phone (231) 431-0300

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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1578050159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 MUNSON AVE STE E1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863661",
            "telephone_number": "231-431-0300",
            "fax_number": "231-431-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MUNSON AVE STE E1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863661",
            "telephone_number": "231-431-0300",
            "fax_number": "231-431-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Noteware Dr Unit G",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496868109",
            "country_code": "US",
            "telephone_number": "231-431-0300",
            "fax_number": "231-431-0310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Gezon Pkwy SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495099542",
            "country_code": "US",
            "telephone_number": "616-773-2908",
            "fax_number": "616-532-3046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "CAITLIN",
        "middle_name": "CAPRICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301017333",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301018294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "ANDERSON",
            "middle_name": "CAPRICE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.