PAMELA D KRESTA (PHD) – Clinical Psychologist, NPI 1568519528

PAMELA D KRESTA (PHD) is a healthcare provider. based in Novi, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6301009266 (MI). The NPI Number for PAMELA D KRESTA (PHD) is 1568519528

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA D KRESTA (PHD)
NPI
1568519528
Phone
(248) 344-7420
Address
43450 W 10 MILE RD
Enumeration Date
4 January 2007
Last Update Date
21 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483447420
Graduation Year
1996 (30 years ago)
PAC ID
7012907660
Group Practice PAC ID
3577456243
Professional Enrollment ID
I20060104000394
Address ID
MI483753232NO23965RDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for PAMELA D KRESTA (PHD)

  • West 10 Mile Road, Novi, Oakland County, Michigan, 48374, United States

    NOVI, MI 483753172

    Phone: (248) 344-7420

    Fax: (248) 344-7423

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060104000394IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48375)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577456243View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
-MI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I cross-check PAMELA D KRESTA (PHD) using NPI 1568519528?
NPI 1568519528 belongs to PAMELA D KRESTA (PHD); compare other details if you need extra assurance.
Is PAMELA D KRESTA (PHD) shown as active in public data?
Registry records indicate PAMELA D KRESTA (PHD) maintains an active NPI.
What expertise is attributed to PAMELA D KRESTA (PHD)?
PAMELA D KRESTA (PHD)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with PAMELA D KRESTA (PHD)?
Directory geography for PAMELA D KRESTA (PHD) centers on Novi, Michigan.
When was this NPI issued?
Enumeration for PAMELA D KRESTA (PHD) is noted as January 4, 2007 where the registry provides it.

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