Active NPI
Krista Freece PHD PLLC
- Community/Behavioral Health Agency
- Canton, MI
National Provider Identifier
1609127232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6301014786
- Legal business name
- KRISTA FREECE PHD PLLC
- Practice address
- 42180 Ford Rd
Suite 305
Canton, MI 48187-3673 - Phone
- (734) 981-3100
- NPI assigned
- Sep 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Krista Freece
- Title
- Psychologist
- Phone
- (734) 981-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6301014786 | MI | Primary |
Addresses
Primary practice location
42180 Ford Rd
Suite 305
Canton, MI 48187-3673
Mailing address
42180 Ford Rd
Suite 305
Canton, MI 48187-3673
Phone (734) 981-3100
National Provider Directory
National Provider DirectoryLocations
42180 Ford Rd
Ste 305
Canton, MI 48187
Phone (734) 981-3100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Novi, MI
- NPI 1245360924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348272000000",
"number": "1609127232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42180 FORD RD",
"address_2": "SUITE 305",
"city": "CANTON",
"state": "MI",
"postal_code": "481873673",
"telephone_number": "734-981-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42180 FORD RD",
"address_2": "SUITE 305",
"city": "CANTON",
"state": "MI",
"postal_code": "481873673",
"telephone_number": "734-981-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTA FREECE PHD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-22",
"last_updated": "2012-09-22",
"status": "A",
"authorized_official_last_name": "FREECE",
"authorized_official_first_name": "KRISTA",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "734-981-3100",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6301014786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.