Organization Active NPI

W & D Lavalley Inc.

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
National Provider Identifier
1265568307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
W & D LAVALLEY INC.
Practice address
914 S Westnedge Ave # 2
Kalamazoo, MI 49008-1110
Phone
(269) 744-5293
Fax
(269) 382-0064
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Jay Lavalley, LMSW
Title
President
Phone
(269) 744-5293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

914 S Westnedge Ave # 2
Kalamazoo, MI 49008-1110

Mailing address

914 S Westnedge Ave # 2
Kalamazoo, MI 49008-1110
Phone (269) 744-5293

Other identifiers 2

IdentifierTypeStateIssuer
32186MedicaidMI
7351OtherMIKCMHS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265568307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S WESTNEDGE AVE # 2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081110",
            "telephone_number": "269-744-5293",
            "fax_number": "269-382-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S WESTNEDGE AVE # 2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081110",
            "telephone_number": "269-744-5293",
            "fax_number": "269-382-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W & D LAVALLEY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVALLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-744-5293",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32186",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KCMHS",
            "identifier": "7351",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.