Organization Active NPI

Michelle Kandalaft, PHD, PLLC

  • Clinical Psychologist
  • Plano, TX
National Provider Identifier
1497024525
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34994 Issued in TX
Legal business name
MICHELLE KANDALAFT, PHD, PLLC
Practice address
4100 W 15TH St
Ste. 204
Plano, TX 75093-5803
Phone
(972) 985-1100
Fax
(972) 985-1105
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Dr. Michelle Kandalaft, PHD
Title
Single Managing Member
Phone
(214) 213-2439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 34994 TX Primary

Addresses

Primary practice location

4100 W 15TH St
Ste. 204
Plano, TX 75093-5803

Mailing address

4100 W 15TH St
Ste. 204
Plano, TX 75093-5803
Phone (972) 985-1100

Other names 1

  • Michelle Kandalaft, PhD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1497024525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST",
            "address_2": "STE. 204",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935803",
            "telephone_number": "972-985-1100",
            "fax_number": "972-985-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST",
            "address_2": "STE. 204",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935803",
            "telephone_number": "972-985-1100",
            "fax_number": "972-985-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE KANDALAFT, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "KANDALAFT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SINGLE MANAGING MEMBER",
        "authorized_official_telephone_number": "214-213-2439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Kandalaft, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.