Individual provider Active NPI

Carolyn Whitaker Dewine, MA, LLP

  • Clinical Psychologist
  • Saline, MI
National Provider Identifier
1760032973
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6361007870 Issued in MI
Practice address
617 Eastlook Dr
Saline, MI 48176-1578
Phone
(734) 478-4559
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 6361007870 MI Primary

Addresses

Primary practice location

617 Eastlook Dr
Saline, MI 48176-1578

Mailing address

617 Eastlook Dr
Saline, MI 48176-1578
Phone (734) 478-4559

Other practice location 1

1203 N Milford Rd Ste C
Milford, MI 48381-1033
Phone (248) 717-3616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

617 Eastlook Dr
Saline, MI 48176-1578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6361007870MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1760032973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 EASTLOOK DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761578",
            "telephone_number": "734-478-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 EASTLOOK DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761578",
            "telephone_number": "734-478-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 N Milford Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MI",
            "postal_code": "483811033",
            "country_code": "US",
            "telephone_number": "248-717-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWINE",
        "first_name": "CAROLYN",
        "middle_name": "WHITAKER",
        "name_prefix": "Mrs.",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361007870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.