Healthcare Provider Details

I. General information

NPI: 1760979553
Provider Name (Legal Business Name): OLGA KARASINA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2018
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANGLEWOOD DR.
WEST BLOOMFIELD MI
48322
US

IV. Provider business mailing address

333 N MICHIGAN AVE STE 1900
CHICAGO IL
60601-3994
US

V. Phone/Fax

Practice location:
  • Phone: 248-497-8080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number071009711
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: