Kathy'S Maternal Infant Health Program

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

6802085964 Issued in MI

Legal business name

KATHY'S MATERNAL INFANT HEALTH PROGRAM

Practice address

18446 Westhaven Ave
Southfield, MI 48075-4119

Phone

(248) 320-6992

Fax

(866) 396-4055

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Katherine Anita Thompson, LLBSW

Title

Executive Director

Phone

(248) 320-6992

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1104100411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18446 WESTHAVEN AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754119",
            "telephone_number": "248-320-6992",
            "fax_number": "866-396-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18446 WESTHAVEN AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754119",
            "telephone_number": "248-320-6992",
            "fax_number": "866-396-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY'S MATERNAL INFANT HEALTH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-320-6992",
        "authorized_official_credential": "LLBSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6802085964",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MI",
            "license": "6802085964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Kasmikha, DDS
• Kasmire Pham Management & Consulting
• Katherine M Johnson
• Kathy Chen PSYD PLLC
• Kathy Klein Carney M.D., P.C.
• Jessica Kato
• Amar Katranji, DDS
• Laura Katschanow
• Neelima Katta, DDS
• Andrei Katychev, MD

• Early Intervention Provider Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Early Intervention Provider Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.