Organization Active NPI

Kalin Coaching and Consulting PLLC

  • Clinical Psychologist
  • Saint Joseph, MI
National Provider Identifier
1477955326
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012953 Issued in MI
Legal business name
KALIN COACHING AND CONSULTING PLLC
Practice address
521 State St
Saint Joseph, MI 49085-1369
Phone
(269) 408-8474
Fax
(269) 408-8725
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Dr. Mitzi Marie Kalin, PSYD
Title
Psychologist/Owner
Phone
(269) 408-8474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 6301012953 MI Primary

Addresses

Primary practice location

521 State St
Saint Joseph, MI 49085-1369

Mailing address

521 State St
Saint Joseph, MI 49085-1369
Phone (269) 408-8474

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1477955326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 STATE ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851369",
            "telephone_number": "269-408-8474",
            "fax_number": "269-408-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 STATE ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851369",
            "telephone_number": "269-408-8474",
            "fax_number": "269-408-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIN COACHING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "KALIN",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "269-408-8474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.