Active NPI
Karalina Antionette Saracino
- Psychologist
- Detroit, MI
National Provider Identifier
1811577844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362009072
- Practice address
- 4160 Woodward Ave
Detroit, MI 48201-2027 - Phone
- (313) 656-4052
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6362009072 | MI | Primary |
Addresses
Primary practice location
4160 Woodward Ave
Detroit, MI 48201-2027
Mailing address
501 Wattles Rd
Bloomfld HLS, MI 48304-3277
Phone (248) 901-1696
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009072 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1811577844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 WATTLES RD",
"city": "BLOOMFLD HLS",
"state": "MI",
"postal_code": "483043277",
"telephone_number": "248-901-1696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012027",
"telephone_number": "313-656-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARACINO",
"first_name": "KARALINA",
"middle_name": "ANTIONETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362009072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.