Active NPI
Katherine Kalsow
- Behavior Technician
- Farmington Hills, MI
National Provider Identifier
1104489038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 27777 Inkster Rd. Suite 100
Farmington Hills, MI 48334 - Phone
- (248) 436-4400
- Fax
- (949) 250-1103
- NPI assigned
- Apr 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
27777 Inkster Rd. Suite 100
Farmington Hills, MI 48334
Mailing address
27777 Inkster Rd. Suite 100
Farmington Hills, MI 48334-1167
Phone (248) 436-4400
Other practice location 1
2091 Business Center Dr Ste 150
Irvine, CA 92612-1167
Phone (949) 250-1101
Other practice location 2
2091 Business Center Dr Ste 150
Irvine, CA 92612-1167
Phone (949) 250-1101
Other practice location 3
27777 Inkster Rd. Suite 100
Farminton Hills, MI 48334-1167
Phone (248) 436-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1104489038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27777 INKSTER RD. SUITE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341167",
"telephone_number": "248-436-4400",
"fax_number": "949-250-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27777 INKSTER RD. SUITE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "48334",
"telephone_number": "248-436-4400",
"fax_number": "949-250-1103"
}
],
"practiceLocations": [
{
"address_1": "2091 Business Center Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926121167",
"country_code": "US",
"telephone_number": "949-250-1101",
"fax_number": "949-250-1103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2091 Business Center Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926121167",
"country_code": "US",
"telephone_number": "949-250-1101",
"fax_number": "949-250-1103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27777 Inkster Rd. Suite 100",
"address_purpose": "LOCATION",
"city": "Farminton Hills",
"state": "MI",
"postal_code": "483341167",
"country_code": "US",
"telephone_number": "248-436-4400",
"fax_number": "949-250-1103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALSOW",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.