Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Katherine C Gothard, PSYS, PSYD, LLP

Individual provider Clinical Psychologist · NPI 1336392638

Dr. Katherine C Gothard, PSYS, PSYD, LLP is a Clinical Psychologist in Canton, Michigan. Qualified in 2010, 16 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2008
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

40158 Warren Rd
Canton, MI 48187-4304
Phone: (173) 461-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301013405 (MI)

Record details

NPI number1336392638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYS , PSYD , LLP
Sole proprietorYes
NPI enumeratedOctober 30, 2008
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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