Organization Active NPI

Krista Freece PHD PLLC

  • Community/Behavioral Health Agency
  • Canton, MI
National Provider Identifier
1609127232
Registry record updated Sep 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301014786 Issued in MI
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

Updated by the provider on Sep 22, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.