David Addison Kalmbach, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016149 Issued in MI

Practice address

39450 W 12 Mile Rd Ofc 3B-057
Novi, MI 48377-3600

Phone

(313) 433-4553

NPI assigned

May 3, 2022

Last updated

May 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: dkalmbach510902@direct.hfhs.org

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1255076279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39450 W 12 MILE RD OFC 3B-057",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773600",
            "telephone_number": "313-433-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39450 W 12 MILE RD OFC 3B-057",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773600",
            "telephone_number": "313-433-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMBACH",
        "first_name": "DAVID",
        "middle_name": "ADDISON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ketaki Kale, PT
• Sara Kalendarev
• Yelena Kalinik, DNP, PMHNP-BC
• Kaitlin Kalkman
• Hicham Kalla
• Mikaela Kamalakis
• Ruth Rosa Kamienecki, DO
• Brian Daniel Kaminski Jr., M.S.
• Linda Kaminski, M.S., R.D., C.D.E
• Mark J Kaminski, M.D.

• Clinical Psychologist in Novi, MI
• Providers in Novi, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.