Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Katerina Georgia Katsoulis, MD

Individual provider Psychiatry Physician · NPI 1518524966

Dr. Katerina Georgia Katsoulis, MD is a Psychiatry in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3225 N Evergreen Dr NE
Grand Rapids, MI 49525-9334
Phone: (616) 364-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 68th St Se, Grand Rapids, MI 49548-6927 — (616) 456-0842

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301509123 (MI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 4351044677 (MI)

Record details

NPI number1518524966
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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