IndividualActive
Kathleen Ivanoff, MA, TLLP
NPI 1902160435 · Psychologist · Plymouth, MI
Kathleen Ivanoff, MA, TLLP is a Psychologist provider in Plymouth, MI (NPI 1902160435).
Provider details
- NPI number
- 1902160435
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- MA, TLLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6301014954 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
496 W Ann Arbor Trl
Suite 202
Plymouth, MI 48170-6262
Phone: (248) 613-5377
Street-level locationGet directions
Mailing address
2403 Crystal Dr
Ann Arbor, MI 48108-1111
Registry dates
- Enumerated
- 2012-06-29
- Last updated
- 2012-06-29
Frequently asked questions
- What is Kathleen Ivanoff's NPI number?
- Kathleen Ivanoff's National Provider Identifier (NPI) is 1902160435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathleen Ivanoff's specialty?
- Kathleen Ivanoff is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Kathleen Ivanoff located?
- Kathleen Ivanoff's practice location on file with NPPES is 496 W Ann Arbor Trl, Plymouth, MI 48170-6262.
- What is Kathleen Ivanoff's phone number?
- The practice phone number listed in the NPPES registry for Kathleen Ivanoff is (248) 613-5377.
- Is Kathleen Ivanoff's NPI active?
- Yes — Kathleen Ivanoff's NPI (1902160435) is active in the NPPES registry as of the last update on 2012-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.