Kalamazoo Behavioral Services, PLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

KALAMAZOO BEHAVIORAL SERVICES, PLC

Practice address

3311 Greenleaf Blvd
Kalamazoo, MI 49008-2516

Phone

(269) 978-0887

Fax

(269) 978-2757

NPI assigned

Aug 31, 2021

Organization subpart

No

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

Authorized official

Name

Thomas Cunningham, LLPNPI 1871602078

Title

Limited Licensed Psychologist

Phone

(269) 358-0240

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Cunningham, LLP

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1871602078
  NPD Authorized official

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1508534074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50449",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490050449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 GREENLEAF BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082516",
            "telephone_number": "269-978-0887",
            "fax_number": "269-978-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO BEHAVIORAL SERVICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "LIMITED LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "269-358-0240",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.