Individual provider Active NPI

Victoria Elaine Cane, PH.D, LP

  • Clinical Psychologist
  • Kalamazoo, MI
National Provider Identifier
1497942627
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014776 Issued in MI
Practice address
530 Nichols Rd
Kalamazoo, MI 49006-2946
Phone
(269) 598-5861
Fax
(888) 889-7312
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301014776 MI Primary

Addresses

Primary practice location

530 Nichols Rd
Kalamazoo, MI 49006-2946

Mailing address

2020 Grand Ave
Kalamazoo, MI 49006-4309
Phone (269) 598-5861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120515000516 MI Practitioner - Clinical Psychologist 7214190065 Practice locations: Kalamazoo, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2280 S 11TH St
Suite 203
Kalamazoo, MI 49009-1910
Phone (269) 598-5861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo Evidence Based Therapy Current Accepting new patients
Paul S. Busch D.D.S., P.C. Past Accepting new patients

Locations

530 Nichols Rd
Kalamazoo, MI 49006
Phone (269) 381-3890

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1497942627",
    "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"
        },
        {
            "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": {
        "last_name": "CANE",
        "first_name": "VICTORIA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.