KATEN PARK MSW
NPI 1346396553
Counselor - Mental Health in Dearborn, MI

Q: What is Katen Park's NPI number?

The NPI number for Katen Park is 1346396553. It was assigned to this individual provider in the NPPES registry on January 28, 2007.

Q: What is Katen Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Katen Park was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 28, 2007PECOS Enrolled

2314 MONROE ST, DEARBORN, MI 48124(313) 565-5937 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Katen Park Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATEN PARK MSW (NPI 1346396553) is an individual mental health provider in Dearborn, Michigan, licensed in Michigan (6774766) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346396553

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKATEN PARKCredential: MSW

Location Address2314 MONROE STDearborn, MI 48124-3045

Mailing Address2314 Monroe StDearborn, MI 48124-3045 · (313) 565-5937

Phone(313) 565-5937

Sole ProprietorYes

Enumeration DateJanuary 28, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1346396553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6774766

2314 MONROE ST, Dearborn, MI 48124

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Other Identifiers 1

Medicare ID-Type UnspecifiedON90880MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katen Park Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MANUEL DUMLAO MD

Psychiatry & Neurology (Psychiatry)