Organization Active NPI

Karen Gottschalk Psychotherapy

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1982196523
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301010464 Issued in MI
Legal business name
KAREN GOTTSCHALK PSYCHOTHERAPY
Practice address
2350 Washtenaw Ave Ste 7G
Ann Arbor, MI 48104-4532
Phone
(734) 332-9184
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Karen Jean Gottschalk, LLPNPI 1003165770
Title
Ma, LLP
Phone
(734) 332-9184

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
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 6301010464 MI Primary

Addresses

Primary practice location

2350 Washtenaw Ave Ste 7G
Ann Arbor, MI 48104-4532

Mailing address

2350 Washtenaw Ave Ste 7G
Ann Arbor, MI 48104-4532
Phone (734) 332-9184

National Provider Directory

National Provider Directory

Locations

2350 Washtenaw Ave
Ste 7G
Ann Arbor, MI 48104
Phone (734) 332-9184

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": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1982196523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE STE 7G",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044532",
            "telephone_number": "734-332-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE STE 7G",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044532",
            "telephone_number": "734-332-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN GOTTSCHALK PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "GOTTSCHALK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MA, LLP",
        "authorized_official_telephone_number": "734-332-9184",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010464",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 30, 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.