Organization Active NPI

Kathleen S Gunther PC

  • Clinical Psychologist
  • Grosse Pointe Park, MI
National Provider Identifier
1801512033
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KATHLEEN S GUNTHER PC
Practice address
15450 E Jefferson Ave Ste 130
Grosse Pointe Park, MI 48230-2028
Phone
(734) 657-3333
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Dr. Kathleen S Gunther, PHDNPI 1912007618
Title
Clinical Psychologist
Phone
(734) 657-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

15450 E Jefferson Ave Ste 130
Grosse Pointe Park, MI 48230-2028

Mailing address

46841 Greenridge Dr
Northville, MI 48167-1766
Phone (734) 657-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221206001904 MI Part B Supplier - Clinic/Group Practice 3375912835 Receives reassigned benefits from 1 practitioner
Practice locations: Northville, MI

National Provider Directory

National Provider Directory

Locations

15450 E Jefferson Ave
Ste 130
Grosse Pointe Park, MI 48230
Phone (313) 821-1319

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1801512033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46841 GREENRIDGE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671766",
            "telephone_number": "734-657-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 E JEFFERSON AVE STE 130",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482302028",
            "telephone_number": "734-657-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN S GUNTHER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "GUNTHER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-657-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.