Active NPI
Carolyn Daitch, PH.D.
- Psychologist
- Farmington Hills, MI
National Provider Identifier
1992963607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301002465
- Practice address
- 28592 Orchard Lake Rd
#301
Farmington Hills, MI 48334-2961 - Phone
- (248) 626-8151
- Fax
- (248) 626-7277
- NPI assigned
- May 29, 2008
- 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 | 6301002465 | MI | Primary |
Addresses
Primary practice location
28592 Orchard Lake Rd
#301
Farmington Hills, MI 48334-2961
Mailing address
28592 Orchard Lake Rd
#301
Farmington Hills, MI 48334-2961
Phone (248) 626-8151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Sep 27, 2010 through Sep 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301002465 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for the Treatment of Anxiety Disorders | 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
- Farmington Hills, MI
- NPI 1710008990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1992963607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28592 ORCHARD LAKE RD",
"address_2": "#301",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342961",
"telephone_number": "248-626-8151",
"fax_number": "248-626-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28592 ORCHARD LAKE RD",
"address_2": "#301",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342961",
"telephone_number": "248-626-8151",
"fax_number": "248-626-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAITCH",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301002465",
"primary": true
}
],
"identifiers": [],
"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 May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.