Kathleen Michaud PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY202738 Issued in ID

Legal business name

KATHLEEN MICHAUD PHD LLC

Practice address

2498 N Stokesberry PL
Suite 140
Meridian, ID 83646-5150

Phone

(208) 971-5806

Fax

(208) 629-1358

NPI assigned

Mar 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen M Michaud, PHDNPI 1992997837

Title

Clincial Psycologiist, Sole MBR

Phone

(208) 971-5806

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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

• Kathleen Marie Michaud, PHD

  • Clinical Psychologist
  • Garden City, ID
  • NPI 1992997837
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1427599885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 N STOKESBERRY PL",
            "address_2": "SUITE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465150",
            "telephone_number": "208-971-5806",
            "fax_number": "208-629-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 N STOKESBERRY PL",
            "address_2": "SUITE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465150",
            "telephone_number": "208-971-5806",
            "fax_number": "208-629-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN MICHAUD PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINCIAL PSYCOLOGIIST, SOLE MBR",
        "authorized_official_telephone_number": "208-971-5806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY202738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Kandes-Myers, FNP-C
• Christina Kane, LPC
• Kara Mae Kang, L.C.P.C
• Brianna Karren, RD, LD
• Vienna Grayce Katana, DO
• James Katrivesis, MD
• Davis T Katseanes, M.D.
• Logan Katseanes, MS, LCPC, NCC
• Jasleen Kaur
• Kaylor Family Medicine PLLC

• Clinical Psychologist in Meridian, ID
• Providers in Meridian, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.