Active NPI
David E Klimek, PH.D.
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1881815629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301002261
- Practice address
- 2200 Fuller CT
Ann Arbor, MI 48105-2311 - Phone
- (734) 995-0999
- NPI assigned
- May 1, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301002261 | MI | Primary |
Addresses
Primary practice location
2200 Fuller CT
Ann Arbor, MI 48105-2311
Mailing address
2200 Fuller CT
Ann Arbor, MI 48105-2311
Phone (734) 995-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68OH14967 | Other | MI | CLINICAL PSYCHOLOGIST |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301002261 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1881815629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 FULLER CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052311",
"telephone_number": "734-995-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 FULLER CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052311",
"telephone_number": "734-995-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIMEK",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301002261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL PSYCHOLOGIST",
"identifier": "68OH14967",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.