Katharine Thakkar, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301016420 Issued in MI

Practice address

316 Physics Rd
Room 151
East Lansing, MI 48824-5604

Phone

(517) 355-9564

NPI assigned

Jan 18, 2017

Last updated

Jan 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

91.34 of 100Reported as group

Quality

78.33

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Psychological Services PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Lansing, MI
  • NPI 1376759639
  Medicare reassignment
• Comprehensive Psychological Service, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Lansing, MI
  • NPI 1689211153
  NPD

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1710423553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 WILDWOOD DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 PHYSICS RD",
            "address_2": "ROOM 151",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488245604",
            "telephone_number": "517-355-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "KATHARINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telehealth Physician Network, PLLC
• Tempo Medical Michigan PC
• Lisa D Tenner, MA, LPC, CRC
• Paola Territo, MS
• Karyn Tetloff, FNP-C
• Niti Thakur, MD
• The Center for Optimal Health, PLLC
• The Chat Room Counseling Group, LLC
• The Daylight Collective
• The Journey Therapy Services LLC

• Psychologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.