Active NPI
Kidology Institute
- Behavior Analyst
- Canton, MI
National Provider Identifier
1295470474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- KIDOLOGY INSTITUTE
- Practice address
- 5820 N Canton Center Rd Ste 180
Canton, MI 48187-2680 - Phone
- (248) 800-2928
- Fax
- (248) 800-7272
- NPI assigned
- May 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Manal Chehadeh, MD
- Title
- Medical Director
- Phone
- (734) 987-4875
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
5820 N Canton Center Rd Ste 180
Canton, MI 48187-2680
Mailing address
5820 N Canton Center Rd Ste 180
Canton, MI 48187-2680
Phone (734) 987-4875
National Provider Directory
National Provider Directory- Tax ID family
- Kidology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Canton, MI
- NPI 1902737885
Locations
7272 N Sheldon Rd
Ste 202
Canton, MI 48187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782777600000",
"number": "1295470474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 N CANTON CENTER RD STE 180",
"city": "CANTON",
"state": "MI",
"postal_code": "481872680",
"telephone_number": "734-987-4875",
"fax_number": "734-328-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 N CANTON CENTER RD STE 180",
"city": "CANTON",
"state": "MI",
"postal_code": "481872680",
"telephone_number": "248-800-2928",
"fax_number": "248-800-7272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDOLOGY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-02",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A",
"authorized_official_last_name": "CHEHADEH",
"authorized_official_first_name": "MANAL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "734-987-4875",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.