Provider Demographics
NPI:1679346282
Name:KATIE ONG, INC.
Entity type:Organization
Organization Name:KATIE ONG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASTER'S LEVEL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:ONG
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LLP
Authorized Official - Phone:248-225-7269
Mailing Address - Street 1:4302 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-6232
Mailing Address - Country:US
Mailing Address - Phone:248-225-7269
Mailing Address - Fax:
Practice Address - Street 1:950 E MAPLE RD STE 207
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6411
Practice Address - Country:US
Practice Address - Phone:248-225-7269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)