Katherine Ann Lewitzke, PSYD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301015399 Issued in MI

Practice address

6913 Fox LN
Waterford, MI 48327-3506

Phone

(248) 404-8816

NPI assigned

Jan 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891031381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 FOX LN",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273506",
            "telephone_number": "248-404-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 FOX LN",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273506",
            "telephone_number": "248-404-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 S Main St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481702253",
            "country_code": "US",
            "telephone_number": "248-404-8816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWITZKE",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1891031381",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1891031381",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891031381",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Yvonne Leonardi, M.P.T.
• Karen Leoncio, OT
• Jimmie Lee Lester, AAS, CAC1
• Lisa Lewis, DPT
• Tamara Lewis
• April Anne Liberty, AG-CNS
• David Lieberman, DDS
• Life Coach Problem Solvers
• Life Pathways Counseling and Coaching, LLC
• Lifebranch Therapy

• Psychologist in Waterford, MI
• Providers in Waterford, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.