Organization Active NPI

Karen a Schulz MP Psychologist PC

  • Mental Health Counselor
  • Plymouth, MI
National Provider Identifier
1972180396
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KAREN A SCHULZ MP PSYCHOLOGIST PC
Practice address
705 S Main St Ste 101I
Plymouth, MI 48170-1060
Phone
(734) 748-5796
Fax
(734) 468-0109
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Dr. Karen A Perez, PSYD, PHDNPI 1083740625
Title
Owner
Phone
(734) 748-5796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

705 S Main St Ste 101I
Plymouth, MI 48170-1060

Mailing address

46469 Killarney Cir
Canton, MI 48188-3501
Phone (734) 748-5796

Other identifiers 1

IdentifierTypeStateIssuer
6401002271OtherMILICENSED PROFESSIONAL COUNSELOR

Other names 1

  • Client Centered Management Services-Community Work Choices Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Plymouth Health Information Exchange (HIE)
SOAP URL Canton Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210630003992 MI Part B Supplier - Clinic/Group Practice 6507267317 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI

National Provider Directory

National Provider Directory

Locations

705 S Main St
Ste 101I
Plymouth, MI 48170
Phone (734) 748-5796

705 S Main St
Ste 101M
Plymouth, MI 48170
Phone (734) 234-8442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1972180396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46469 KILLARNEY CIR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883501",
            "telephone_number": "734-748-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST STE 101I",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701060",
            "telephone_number": "734-748-5796",
            "fax_number": "734-468-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN A SCHULZ MP PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-748-5796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "6401002271",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Plymouth",
            "affiliation": "N",
            "endpointDescription": "Practice Location - secure message center platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 S Main St Ste 101I",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481701060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Canton",
            "affiliation": "N",
            "endpointDescription": "Billing office location",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Canton",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Chart Review and Verification",
            "address_1": "705 S Main St Ste 101I",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481701060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Client Centered Management Services-Community Work Choices",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Client Centered Management Services-Community Work Choices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.