Individual provider Active NPI

Caterina C Jannette, M.A.

  • Psychologist
  • Shelby TWP, MI
National Provider Identifier
1871759910
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013513 Issued in MI
Practice address
53200 Van Dyke Ave Ste 100
Shelby TWP, MI 48316-2597
Phone
(586) 707-6340
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013513 MI Primary

Addresses

Primary practice location

53200 Van Dyke Ave Ste 100
Shelby TWP, MI 48316-2597

Mailing address

53200 Van Dyke Ave Ste 100
Shelby TWP, MI 48316-2597
Phone (586) 707-6340

Other practice location 1

17978 Canvasback Dr
Clinton Twp, MI 48038-1176
Phone (586) 707-6340

Other practice location 2

53200 Van Dyke Ave Ste 100
Shelby Twp, MI 48316-2597
Phone (586) 707-6340

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
6301013513MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1871759910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53200 VAN DYKE AVE STE 100",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483162597",
            "telephone_number": "586-707-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53200 VAN DYKE AVE STE 100",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483162597",
            "telephone_number": "586-707-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17978 Canvasback Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480381176",
            "country_code": "US",
            "telephone_number": "586-707-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53200 Van Dyke Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483162597",
            "country_code": "US",
            "telephone_number": "586-707-6340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANNETTE",
        "first_name": "CATERINA",
        "middle_name": "C",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.