Kalamazoo Evidence Based Therapy

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301014776 Issued in MI

Legal business name

KALAMAZOO EVIDENCE BASED THERAPY

Practice address

530 Nichols Rd
Kalamazoo, MI 49006-2946

Phone

(269) 598-5861

Fax

(888) 889-7312

NPI assigned

Jun 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Victoria Cane, PH.D, LPNPI 1497942627

Title

Clinical Director

Phone

(269) 598-5861

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Elaine Cane, PH.D, LP

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1497942627
  NPD Authorized official

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1457846529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GRAND AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064309",
            "telephone_number": "269-598-5861",
            "fax_number": "888-889-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NICHOLS RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062946",
            "telephone_number": "269-598-5861",
            "fax_number": "888-889-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO EVIDENCE BASED THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "CANE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "269-598-5861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalamazoo County Government Dental Clinic
• Kalamazoo Dental Care Associates LLC
• Kalamazoo Emergency Associates, PLC
• Kalamazoo Empowerment Services, PLC
• Kalamazoo Endodontics PLLC
• Kalamazoo Family Smiles, PLLC
• Kalamazoo Foot Surgery, P.C.
• Kalamazoo Functional Rehabiliation- Therapy Team LLC
• Kalamazoo Home Care Services, LLC (FirstLight Home care of Kalamazoo)
• Kalamazoo Home Health Care, Inc. (Kalamazoo Softwave Therapy Inc.)

• Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.