Organization Active NPI

Kathleen McCarthy PHD, PC

  • Community/Behavioral Health Agency
  • Bloomfield Hills, MI
National Provider Identifier
1609012327
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301012495 Issued in MI
Legal business name
KATHLEEN MCCARTHY PHD, PC
Practice address
36880 Woodward Ave
205
Bloomfield Hills, MI 48304-0919
Phone
(248) 647-1572
NPI assigned
Dec 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Kathleen McCarthy, PHDNPI 1720247596
Title
Owner
Phone
(248) 642-0402

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
Community/Behavioral Health Agency 251S00000X 6301012495 MI Primary

Addresses

Primary practice location

36880 Woodward Ave
205
Bloomfield Hills, MI 48304-0919

Mailing address

36880 Woodward Ave
205
Bloomfield Hills, MI 48304-0919
Phone (248) 647-1572

National Provider Directory

National Provider Directory

Locations

36880 Woodward Ave
Ste 205
Bloomfield Hills, MI 48304
Phone (248) 258-1650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1609012327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE",
            "address_2": "205",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040919",
            "telephone_number": "248-647-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE",
            "address_2": "205",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040919",
            "telephone_number": "248-647-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN MCCARTHY PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-642-0402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301012495",
            "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 Dec 30, 2008; 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.