Individual provider Active NPI

Raymond Kamoo, PHD

  • Clinical Psychologist
  • Bingham Farms, MI
National Provider Identifier
1013072164
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301007666 Issued in MI
Practice address
30200 Telegraph Rd Ste 207
Bingham Farms, MI 48025-5711
Phone
(248) 712-1129
Fax
(248) 792-3249
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301007666 MI Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 822164 MI

Addresses

Primary practice location

30200 Telegraph Rd Ste 207
Bingham Farms, MI 48025-5711

Mailing address

30200 Telegraph Rd Ste 207
Bingham Farms, MI 48025-5711
Phone (248) 712-1129

Other names 1

  • Ray Kamoo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000533 MI Practitioner - Clinical Psychologist 9931174257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apex Therapy Services IncGroup PAC ID 1951526029, 4 clinicians

Practice addresses (Care Compare)

30200 Telegraph Rd
Suite 207
Bingham Farms, MI 48025-5711
Phone (248) 712-1129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
822164MIMDAddiction (Substance Use Disorder) Psychologist
6301007666MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Therapy Services, Inc Clinical CurrentSince Jun 5, 2013 Accepting new patients
Rainbow Center of Michigan Inc Past Accepting new patients
Rooted Minds LLC PastSince Feb 2, 2025 Accepting new patients
Rainbow Center of Michigan Inc Past Accepting new patients

Locations

30200 Telegraph Rd
Ste 207
Bingham Farms, MI 48025
Phone (218) 712-1129

245 N Rose St
Ste 200
Kalamazoo, MI 49007

3030 S 9th St
Ste 3A
Kalamazoo, MI 49009

6980 Stadium Dr
Ste 101
Kalamazoo, MI 49009
Phone (269) 267-0889

2674 W Jefferson Ave
Ste 206
Trenton, MI 48183

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1013072164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255711",
            "telephone_number": "248-712-1129",
            "fax_number": "248-792-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255711",
            "telephone_number": "248-712-1129",
            "fax_number": "248-792-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMOO",
        "first_name": "RAYMOND",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007666",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "822164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "KAMOO",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.