Active NPI
Octave Behavioral Michigan PC
- Psychologist
- East Lansing, MI
National Provider Identifier
1356026975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- OCTAVE BEHAVIORAL MICHIGAN PC
- Practice address
- 2900 West Rd Ste 500
East Lansing, MI 48823-6386 - Phone
- (415) 360-3833
- Fax
- (628) 203-4304
- NPI assigned
- Jun 20, 2023
- 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
- Kym Everett
- Title
- Vice President, Revenue Operations
- Phone
- (650) 504-2289
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2900 West Rd Ste 500
East Lansing, MI 48823-6386
Mailing address
625 Market St FL 15
San Francisco, CA 94105-3316
Phone (415) 360-3833
Other practice location 1
641 S Lawrence St
Montgomery, AL 36104-5809
Phone (411) 536-0383
Other practice location 2
300 Spring Building Ste 900
Little Rock, AR 72201-2425
Phone (415) 360-3833
Other practice location 3
251 Little Falls Dr
Wilmington, DE 19808-1674
Phone (415) 360-3833
Other practice location 4
1003 Bishop St
Honolulu, HI 96813-6400
Phone (415) 360-3833
Other practice location 5
505 5th Ave Ste 729
Des Moines, IA 50309-2318
Phone (415) 360-3833
Other practice location 6
1305 12th Ave Rd
Nampa, ID 83686-6003
Phone (415) 360-3833
Other practice location 7
501 Louisiana Ave
Baton Rouge, LA 70802-5921
Phone (415) 360-3833
Other practice location 8
135 N Pennsylvania St Ste 1610
Indianapolis, IN 46204-2448
Phone (415) 360-3833
Other practice location 9
2900 SW Wanamaker Dr Ste 204
Topeka, KS 66614-4188
Phone (415) 360-3833
Other practice location 10
421 W Main St
Frankfort, KY 40601-1815
Phone (415) 360-3833
Other practice location 11
45 Memorial Cir
Augusta, ME 04330-6400
Phone (415) 360-3833
Other practice location 12
221 Bolivar St
Jefferson City, MO 65101-1572
Phone (415) 360-3833
Other practice location 13
503 S Pierre St
Pierre, SD 57501-4522
Phone (415) 360-3833
Other practice location 14
10300 Greenbriar Pl
Oklahoma City, OK 73159-7653
Phone (415) 360-3833
Other practice location 15
222 Jefferson Blvd Ste 200
Warwick, RI 02888-3855
Phone (415) 360-3833
Other practice location 16
4700 S Mill Ave Ste 5B11
Tempe, AZ 85282-6736
Phone (415) 360-3833
Other practice location 17
2323 N Campbell Ave Ste 72
Tucson, AZ 85719-3717
Phone (415) 360-3833
Other practice location 18
3048 E Baseline Rd Ste 107
Mesa, AZ 85204-7287
Phone (415) 360-3833
Other practice location 19
15150 W Park Pl Ste 215
Goodyear, AZ 85395-2386
Phone (415) 360-3833
Other practice location 20
3255 E Creosote Ln
Gilbert, AZ 85298-0853
Phone (415) 360-3833
Other practice location 21
3101 N Central Ave Ste 156
Phoenix, AZ 85012-3603
Phone (415) 360-3833
Other practice location 22
9160 E Bahia Dr Ste 107
Scottsdale, AZ 85260-1543
Phone (415) 360-3833
Other practice location 23
2266 S Dobson Rd Ste 200
Mesa, AZ 85202-6412
Phone (415) 360-3833
Other practice location 24
7689 E Paradise Ln Ste 7
Scottsdale, AZ 85260-1691
Phone (415) 360-3833
Other practice location 25
1360 N Bullard Ave Ste D209
Goodyear, AZ 85395-2743
Phone (415) 360-3833
Other practice location 26
18001 N 79th Ave Ste A10
Glendale, AZ 85308-8389
Phone (415) 360-3833
Other practice location 27
64 E Broadway Rd Ste 200
Tempe, AZ 85282-1377
Phone (415) 360-3833
Other practice location 28
112 N Curry St
Carson City, NV 89703-4934
Phone (415) 360-3833
Other practice location 29
110 E Broadway St
Hobbs, NM 88240-8424
Phone (415) 360-3833
Other practice location 30
10 Ferry St Ste 313
Concord, NH 03301-5004
Phone (415) 360-3833
Other practice location 31
600 S 2nd St
Bismarck, ND 58504-5726
Phone (415) 360-3833
Other practice location 32
26 W 6th Ave
Helena, MT 59601-5035
Phone (415) 360-3833
Other practice location 33
109 Executive Dr Ste 3
Madison, MS 39110-8497
Phone (415) 360-3833
Other practice location 34
233 S 13th St Ste 1900
Lincoln, NE 68508-2000
Phone (415) 360-3833
Other practice location 35
625 Market St Fl 15
San Francisco, CA 94105-3316
Phone (650) 504-2289
Other practice location 36
1821 Logan Ave
Cheyenne, WY 82001-5007
Phone (415) 360-3833
Other practice location 37
209 Washington St W
Charleston, WV 25302-2348
Phone (415) 360-3833
Other practice location 38
100 N Main St Ste 2
Barre, VT 05641-4162
Phone (415) 360-3833
Other practice location 39
6044 S 16th St Ste 180
Phoenix, AZ 85042-4472
Phone (415) 360-3833
Other practice location 40
15 W South Temple Ste 600
Slc, UT 84101-1536
Phone (415) 360-3833
National Provider Directory
National Provider Directory- Tax ID family
- Octave Behavioral Michigan PC
Other organizations with this tax ID 11
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Nashville, TN
- NPI 1013761287
-
- Psychologist
- West Columbia, SC
- NPI 1023827003
-
- Psychologist
- Salem, OR
- NPI 1073367256
-
- Psychologist
- Springfield, IL
- NPI 1083423164
-
- Psychologist
- Upper Arlington, OH
- NPI 1306655485
-
- Psychologist
- Madison, WI
- NPI 1649089624
-
- Psychologist
- Littleton, CO
- NPI 1740099829
-
- Psychologist
- Phoenix, AZ
- NPI 1801640081
-
- Psychologist
- Roseville, MN
- NPI 1891504973
-
- Psychologist
- Raleigh, NC
- NPI 1386498566
-
- Psychologist
- Peachtree Corners, GA
- NPI 1477307650
Locations
1360 N Bullard Ave
Ste D209
Goodyear, AZ 85395
3101 N Central Ave
Ste 156
Phoenix, AZ 85012
Phone (602) 252-5856
7689 E Paradise Ln
Ste 7
Scottsdale, AZ 85260
4700 S Mill Ave
Ste 5B11
Tempe, AZ 85282
2323 N Campbell Ave
Ste 72
Tucson, AZ 85719
233 S 13th St
Ste 1900
Lincoln, NE 68508
10 Ferry St
Ste 313
Concord, NH 03301
Phone (617) 249-6854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1356026975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 MARKET ST FL 15",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941053316",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 WEST RD STE 500",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236386",
"telephone_number": "415-360-3833",
"fax_number": "628-203-4304"
}
],
"practiceLocations": [
{
"address_1": "641 S Lawrence St",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361045809",
"country_code": "US",
"telephone_number": "411-536-0383",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Spring Building Ste 900",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722012425",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "251 Little Falls Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198081674",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1003 Bishop St",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968136400",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 5th Ave Ste 729",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503092318",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1305 12th Ave Rd",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836866003",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Louisiana Ave",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708025921",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 N Pennsylvania St Ste 1610",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462042448",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 SW Wanamaker Dr Ste 204",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666144188",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 W Main St",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "KY",
"postal_code": "406011815",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Memorial Cir",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "ME",
"postal_code": "043306400",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 Bolivar St",
"address_purpose": "LOCATION",
"city": "Jefferson City",
"state": "MO",
"postal_code": "651011572",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "503 S Pierre St",
"address_purpose": "LOCATION",
"city": "Pierre",
"state": "SD",
"postal_code": "575014522",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10300 Greenbriar Pl",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731597653",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 Jefferson Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028883855",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 S Mill Ave Ste 5B11",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852826736",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2323 N Campbell Ave Ste 72",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857193717",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3048 E Baseline Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852047287",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15150 W Park Pl Ste 215",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853952386",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3255 E Creosote Ln",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852980853",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3101 N Central Ave Ste 156",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850123603",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9160 E Bahia Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852601543",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2266 S Dobson Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852026412",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7689 E Paradise Ln Ste 7",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852601691",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1360 N Bullard Ave Ste D209",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853952743",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18001 N 79th Ave Ste A10",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853088389",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64 E Broadway Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852821377",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 N Curry St",
"address_purpose": "LOCATION",
"city": "Carson City",
"state": "NV",
"postal_code": "897034934",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 E Broadway St",
"address_purpose": "LOCATION",
"city": "Hobbs",
"state": "NM",
"postal_code": "882408424",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Ferry St Ste 313",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033015004",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 S 2nd St",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585045726",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26 W 6th Ave",
"address_purpose": "LOCATION",
"city": "Helena",
"state": "MT",
"postal_code": "596015035",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 Executive Dr Ste 3",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "MS",
"postal_code": "391108497",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "233 S 13th St Ste 1900",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685082000",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "625 Market St Fl 15",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941053316",
"country_code": "US",
"telephone_number": "650-504-2289",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1821 Logan Ave",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820015007",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "209 Washington St W",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253022348",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 N Main St Ste 2",
"address_purpose": "LOCATION",
"city": "Barre",
"state": "VT",
"postal_code": "056414162",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6044 S 16th St Ste 180",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850424472",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 W South Temple Ste 600",
"address_purpose": "LOCATION",
"city": "Slc",
"state": "UT",
"postal_code": "841011536",
"country_code": "US",
"telephone_number": "415-360-3833",
"fax_number": "628-234-3048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OCTAVE BEHAVIORAL MICHIGAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-20",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "EVERETT",
"authorized_official_first_name": "KYM",
"authorized_official_title_or_position": "VICE PRESIDENT, REVENUE OPERATIONS",
"authorized_official_telephone_number": "650-504-2289"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.