Active NPI
Katherine Ann Jacobs, PH.D.
- Clinical Psychologist
- Farmington Hills, MI
National Provider Identifier
1801015391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301006582
- Practice address
- 30600 Northwestern Hwy
Suite 210
Farmington Hills, MI 48334-3161 - Phone
- (248) 788-1587
- Fax
- (248) 539-7713
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301006582 | MI | Primary |
Addresses
Primary practice location
30600 Northwestern Hwy
Suite 210
Farmington Hills, MI 48334-3161
Mailing address
30600 Northwestern Hwy
Suite 210
Farmington Hills, MI 48334-3161
Phone (248) 788-1587
Other names 1
- Katherine Keefer Okla
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Aug 1, 2015 through Aug 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301006582 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swerdlow-Freed Psychology PC | Clinical | Past | Accepting new patients |
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.
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- Sedona, AZ
- NPI 1801936265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1801015391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30600 NORTHWESTERN HWY",
"address_2": "SUITE 210",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343161",
"telephone_number": "248-788-1587",
"fax_number": "248-539-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30600 NORTHWESTERN HWY",
"address_2": "SUITE 210",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343161",
"telephone_number": "248-788-1587",
"fax_number": "248-539-7713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "KATHERINE",
"middle_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301006582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "OKLA",
"middle_name": "KEEFER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.