Individual provider Active NPI

Catherine Krstevski

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1649797325
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301017170 Issued in MI
Practice address
4525 Pratt Rd
Ann Arbor, MI 48103-1448
Phone
(248) 919-8716
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301017170 MI Primary

Addresses

Primary practice location

4525 Pratt Rd
Ann Arbor, MI 48103-1448

Mailing address

4525 Pratt Rd
Ann Arbor, MI 48103-1448
Phone (248) 919-8716

Other practice location 1

26105 Orchard Lake Rd Ste 207
Farmington Hills, MI 48334-4578
Phone (248) 919-8716

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

State licenses

LicenseStateTypeSpecialty
6301017170MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Honey Creek Psychotherapy L.L.C Clinical CurrentSince Nov 21, 2021 Accepting new patients

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": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1649797325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 PRATT RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031448",
            "telephone_number": "248-919-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 PRATT RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031448",
            "telephone_number": "248-919-8716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26105 Orchard Lake Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483344578",
            "country_code": "US",
            "telephone_number": "248-919-8716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRSTEVSKI",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.