NPIMap

Organization Active NPI

Western Michigan University Center for Disability Services

  • Developmentally Disabled Services Day Training Agency
  • Kalamazoo, MI
National Provider Identifier
1043431240
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
WESTERN MICHIGAN UNIVERSITY CENTER FOR DISABILITY SERVICES
Practice address
1000 Oakland Dr
3Rd Floor
Kalamazoo, MI 49008-1282
Phone
(269) 387-7200
Fax
(269) 387-7212
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Dr. Andrea Perez, PHD, BCBA
Title
Director
Phone
(269) 387-7412

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

1000 Oakland Dr
3Rd Floor
Kalamazoo, MI 49008-1282

Mailing address

1000 Oakland Dr
3Rd Floor
Kalamazoo, MI 49008-1282
Phone (269) 387-7200

National Provider Directory

National Provider Directory
Tax ID family
Western Michigan Univer16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1043431240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OAKLAND DR",
            "address_2": "3RD FLOOR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081282",
            "telephone_number": "269-387-7200",
            "fax_number": "269-387-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OAKLAND DR",
            "address_2": "3RD FLOOR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081282",
            "telephone_number": "269-387-7200",
            "fax_number": "269-387-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MICHIGAN UNIVERSITY CENTER FOR DISABILITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-387-7412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.