Vajendra J Desai

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301037172 Issued in MI

Legal business name

VAJENDRA J DESAI

Practice address

3321 Buckhaven Dr SE
Ada, MI 49301-9377

Phone

(616) 235-2090

Fax

(616) 235-2099

NPI assigned

Nov 21, 2008

Organization subpart

No

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

Authorized official

Name

Kim Swisher

Title

Billing

Phone

(616) 235-2090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1124273842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120125",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495280103",
            "telephone_number": "616-235-2090",
            "fax_number": "616-235-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 BUCKHAVEN DR SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019377",
            "telephone_number": "616-235-2090",
            "fax_number": "616-235-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAJENDRA J DESAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "SWISHER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "616-235-2090"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301037172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Tichon, LMFT
• Colleen Elizabeth Tillema, FNP
• Allison Grace Trevino
• Anastasia Tucker
• United Rehab Consultants
• Kelli Van Der Heide
• Matthew J Vandenelst
• Kirk Vander Molen, LMSW
• Hannah Vanhoorne
• Diane Marie Vanoeveren

• Psychiatry Physician in Ada, MI
• Providers in Ada, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.