Alexander Wellness Group

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ALEXANDER WELLNESS GROUP

Practice address

417 Forest St # 476
Kalamazoo, MI 49001-2747

Phone

(219) 210-0272

NPI assigned

Sep 8, 2023

Organization subpart

No

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

Authorized official

Name

Thomas L AlexanderNPI 1568155067

Title

Clinical Director

Phone

(219) 210-0272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Thomas L Alexander IV, PSYD

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1568155067
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1467239996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FOREST ST # 476",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012747",
            "telephone_number": "219-210-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FOREST ST # 476",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012747",
            "telephone_number": "219-210-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "219-210-0272"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Renee Alcaraz, RN
• Roxana Alcaraz
• Erin Alderman, LMSW
• Cruz Saul Aleman, RDN
• Galen J. Alessi, PH.D.
• Ajah Yvette Alexander, QIDP
• Alexsis Avor Alexander
• Leighla Alexander
• Melissa Alexander, OTD, OTR/L
• Taylor Erik Alexander, DO

• 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 Oct 2, 2023; 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.