Individual provider Active NPI

Katherine Jean Hitchcock, PH.D.

  • Psychologist
  • Rochester Hills, MI
National Provider Identifier
1770620981
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301008860 Issued in MI
Practice address
200 Diversion STR.
Suite 10a
Rochester Hills, MI 48307-2273
Phone
(248) 608-9740
Fax
(248) 608-9752
NPI assigned
Jan 30, 2007
Last updated
Apr 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301008860 MI Primary

Addresses

Primary practice location

200 Diversion STR.
Suite 10a
Rochester Hills, MI 48307-2273

Mailing address

20300 Civic Center Drive
Suite 303
Southfield, MI 48076-4169
Phone (248) 559-8190

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090724000258 MI Practitioner - Clinical Psychologist 7214080118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Karalee Associates PCGroup PAC ID 0446211676, 8 clinicians

Practice addresses (Care Compare)

1308 S Main St
Plymouth, MI 48170-2253
Phone (734) 451-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301008860MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karalee Associates PC Psychologist CurrentSince Feb 1, 2022 Accepting new patients
Tri-Care PC Past Accepting new patients

Locations

1308 S Main St
Plymouth, MI 48170
Phone (734) 451-3440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1770620981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20300 CIVIC CENTER DRIVE",
            "address_2": "SUITE 303",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764169",
            "telephone_number": "248-559-8190",
            "fax_number": "248-559-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DIVERSION STR.",
            "address_2": "SUITE 10A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072273",
            "telephone_number": "248-608-9740",
            "fax_number": "248-608-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITCHCOCK",
        "first_name": "KATHERINE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.