Masquigon Integrative Behavioral Health

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MASQUIGON INTEGRATIVE BEHAVIORAL HEALTH

Practice address

221 W Webster Ave
Muskegon, MI 49440-1294

Phone

(231) 215-3877

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Carla Ann Kevern, BCBA, DTLLP, NCSPNPI 1396247243

Title

Practitioner

Phone

(231) 215-3877

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Ann Kevern, BCBA, DTLLP, NCSP

  • Psychologist
  • Muskegon, MI
  • NPI 1396247243

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1023710290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 HARDING AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411247",
            "telephone_number": "231-215-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W WEBSTER AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401294",
            "telephone_number": "231-215-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASQUIGON INTEGRATIVE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "KEVERN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "231-215-3877",
        "authorized_official_credential": "BCBA, DTLLP, NCSP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marvin
• Mary Free Bed Orthotics and Prosthetics
• Mary Jo Dempsey PC
• Krista Mashak, LLMSW
• David Nabih Mashni, DPT
• Charles E Massie III, DO
• Christine Masterman, MSN,IBCLC
• Clare Elizabeth Mathers
• Michelle M Matheson, DDS
• Lisa Marie Mathis, LMSW

• Psychologist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.