Individual provider Active NPI

Katie Marie Furton, LP

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1962755207
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301019178 Issued in MI
Practice address
29887 W 11 Mile Rd
Farmington Hills, MI 48336-1309
Phone
(734) 637-6152
NPI assigned
Oct 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301019178 MI Primary

Addresses

Primary practice location

29887 W 11 Mile Rd
Farmington Hills, MI 48336-1309

Mailing address

15642 Garrison LN
Southgate, MI 48195-3446
Phone (734) 637-6152

Other identifiers 1

IdentifierTypeStateIssuer
6301019178OtherMICLINICAL 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

State licenses

LicenseStateTypeSpecialty
6301019178MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Agility of Mental Health, LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

29887 W 11 Mile Rd
Farmington Hills, MI 48336
Phone (248) 476-8860

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1962755207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15642 GARRISON LN",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953446",
            "telephone_number": "734-637-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29887 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361309",
            "telephone_number": "734-637-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURTON",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301019178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST",
            "identifier": "6301019178",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.