Karen Marie Rusniak, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301011919 Issued in MI

Practice address

7300 Dixie Hwy Ste 1000
Clarkston, MI 48346-5105

Phone

(248) 922-2300

Fax

(248) 922-2304

NPI assigned

Aug 5, 2007

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

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 and National Provider Directory roles.

• Lifelens Psychological and Counseling Services

  • Psychologist
  • Waterford, MI
  • NPI 1083015499
  Medicare reassignment NPD

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1760673909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3792 N CENTURY OAK CIR",
            "city": "OAKLAND",
            "state": "MI",
            "postal_code": "483632666",
            "telephone_number": "586-354-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 DIXIE HWY STE 1000",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465105",
            "telephone_number": "248-922-2300",
            "fax_number": "248-922-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSNIAK",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saul M Rubenstein, M.D.
• Vivianna Rubles, LLPC
• Leah Marie Ruddock
• Jeremy Rudkin, D.C.
• Kelsey Ann Ruffin, BCBA
• Sabrina Russom, NP-BC
• Katie Lyn Rutkowski, P.A.-C
• Thomas Joseph Rydzon, DDS
• David P Sakstrup, RPH
• Salta of Clarkston, PLLC

• Psychologist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.