Individual provider Active NPI

Stephanie Elizabeth Karek, M.A., LLP

  • Psychologist
  • Grand Rapids, MI
National Provider Identifier
1760995146
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013936 Issued in MI
Practice address
4467 Cascade Rd SE Ste A4469
Grand Rapids, MI 49546-3791
Phone
(248) 259-1868
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013936 MI Primary

Addresses

Primary practice location

4467 Cascade Rd SE Ste A4469
Grand Rapids, MI 49546-3791

Mailing address

2153 Hearthside Dr SE
Ada, MI 49301-8354
Phone (248) 259-1868

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301013936MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karek Psychological Services, LLC Current Accepting new patients

Locations

4467 Cascade Rd SE
Ste 4469
Grand Rapids, MI 49546
Phone (616) 209-8862

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1760995146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 HEARTHSIDE DR SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018354",
            "telephone_number": "248-259-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 CASCADE RD SE STE A4469",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463791",
            "telephone_number": "248-259-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAREK",
        "first_name": "STEPHANIE",
        "middle_name": "ELIZABETH",
        "credential": "M.A., LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.