Active NPI
Kathryn Anne Staron, MS LLP
- Psychologist
- Livonia, MI
National Provider Identifier
1972689792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301013261
- Practice address
- 33150 Schoolcraft Rd Ste L03
Livonia, MI 48150 - Phone
- (248) 497-3411
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301013261 | MI | Primary |
Addresses
Primary practice location
33150 Schoolcraft Rd Ste L03
Livonia, MI 48150
Mailing address
195 Shinnecock Dr
Brighton, MI 48114-8832
Phone (248) 497-3411
Other practice location 1
15370 Levan Road
Suite 2
Livonia, MI 48154
Phone (734) 744-0170
Other practice location 2
33150 Schoolcraft Rd Ste L03
Livonia, MI 48150
Phone (248) 497-3411
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013261 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Psychological Services | Psychologist | Past | Accepting new patients |
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.
-
- Psychologist
- Livonia, MI
- NPI 1255990685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1972689792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 SHINNECOCK DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481148832",
"telephone_number": "248-497-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33150 SCHOOLCRAFT RD STE L03",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48150",
"telephone_number": "248-497-3411"
}
],
"practiceLocations": [
{
"address_1": "15370 Levan Road",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "48154",
"country_code": "US",
"telephone_number": "734-744-0170",
"fax_number": "734-744-0171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33150 Schoolcraft Rd Ste L03",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "48150",
"country_code": "US",
"telephone_number": "248-497-3411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARON",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MS LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301013261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.