Kathleen Mary Kalil, PH.D, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301003906 Issued in MI

Practice address

24940 Fairmount Dr
Dearborn, MI 48124-1584

Phone

(313) 274-3500

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apex Behavioral Health,PLLC

  • Social Worker
  • Westland, MI
  • NPI 1821025347
  NPD (past)
• T W Park MD PC

  • Psychiatry Physician
  • Taylor, MI
  • NPI 1275721458
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467578286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24940 FAIRMOUNT DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241584",
            "telephone_number": "313-274-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24940 FAIRMOUNT DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241584",
            "telephone_number": "313-274-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIL",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301003906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIER NUMBER",
            "identifier": "OF33321",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasser Kaid
• Rita Teresa Kainaya, LMSW
• Kristine Kaiser, MD
• Kakish Plarmacy Inc.
• Evonne Marie Kakos, DR
• Danny Kalis
• Kalmus Podiatry PLLC
• Melina C Kaltak, D.O.
• Satish N. Kamath, M.D.
• Francis Robert Kamen, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.