MS. KATHLEEN GAIL IVANOFF MA, TLLP
NPI 1902160435
Psychologist in Plymouth, MI

Active since June 29, 2012
496 W ANN ARBOR TRL, SUITE 202, PLYMOUTH, MI 48170(248) 613-5377 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathleen Gail Ivanoff Ma, Tllp NPPES

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

MS. KATHLEEN GAIL IVANOFF MA, TLLP (NPI 1902160435) is an individual psychologist in Plymouth, Michigan, licensed in Michigan (6301014954) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1902160435
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. KATHLEEN GAIL IVANOFFCredential: MA, TLLP
Location Address496 W ANN ARBOR TRL, SUITE 202Plymouth, MI 48170-6262
Mailing Address2403 Crystal DrAnn Arbor, MI 48108-1111 · (734) 320-2719
Sole ProprietorYes
Enumeration DateJune 29, 2012
NPI 1902160435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301014954
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
496 W ANN ARBOR TRL, Plymouth, MI 48170

Other Providers at the Same Location NPPES 10

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

Psychologist
496 W ANN ARBOR TRL
PLYMOUTH, MI 48170
Psychologist (Cognitive & Behavioral)
496 W ANN ARBOR TRL, SUITE 108
PLYMOUTH, MI 48170
Recreation Therapist
496 W ANN ARBOR TRL
PLYMOUTH, MI 48170
Dentist (General Practice)
496 W ANN ARBOR TRL, SUITE 201
PLYMOUTH, MI 48170
Counselor (Mental Health)
496 W ANN ARBOR TRL
PLYMOUTH, MI 48170
Social Worker (Clinical)
496 W ANN ARBOR TRL
PLYMOUTH, MI 48170
Counselor (Mental Health)
496 W ANN ARBOR TRL, SUITE 202
PLYMOUTH, MI 48170
Psychologist
496 W ANN ARBOR TRL
PLYMOUTH, MI 48170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Ivanoff's NPI number?

The NPI number for Kathleen Ivanoff is 1902160435. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Kathleen Ivanoff located?

Kathleen Ivanoff practices at 496 W Ann Arbor Trl Suite 202, Plymouth, MI 48170. The listed phone number is (248) 613-5377.

What is Kathleen Ivanoff's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Ivanoff was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.