Kaneti Psychology Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KANETI PSYCHOLOGY SERVICES, LLC

Practice address

4070 Lake Dr SE Ste 101
Grand Rapids, MI 49546-8294

Phone

(616) 449-2400

NPI assigned

Oct 22, 2020

Last updated

Jul 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Catharine Kaneti, PSY.D.NPI 1841227659

Title

Owner

Phone

(616) 246-1472

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catharine Marie Kaneti, PSY D

  • Rehabilitation Psychologist
  • Grand Rapids, MI
  • NPI 1841227659
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1073112843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 LAKE DR SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468294",
            "telephone_number": "616-246-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 LAKE DR SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468294",
            "telephone_number": "616-449-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANETI PSYCHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "KANETI",
        "authorized_official_first_name": "CATHARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-246-1472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bushra Kanawati
• Nermien Moustafa Kandeel, MD
• Sydney Ashtin Kandell
• Meghan Rose Kandow, FNP-BC
• Mark S Kane, PHD CSW
• Catharine Marie Kaneti, PSY D
• Kyu Hyung Kang, D.D.S.
• Morgan Rae Kanigowski, LMSW
• Mark G Kanitz, MD
• Conner Kanouse

• Adult Mental Health Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.