Octave M Kayanda, PH.T

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-041-1058 Issued in NC

Practice address

2300 W Meadowview Rd
Suite 105
Greensboro, NC 27407-3720

Phone

(336) 358-6773

NPI assigned

Aug 31, 2012

Last updated

Aug 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1518216829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MEADOWVIEW RD",
            "address_2": "SUITE 105",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073720",
            "telephone_number": "336-358-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MEADOWVIEW RD",
            "address_2": "SUITE 105",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073720",
            "telephone_number": "336-358-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYANDA",
        "first_name": "OCTAVE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-041-1058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilpreet Kaur
• Rupinder D Kaur, M.D.
• Leslie E Kausch, LPC, NCC
• Cassandra Kavuri, MD
• Kay's Home Care LLC
• Hannah Jeanne Kaye, LCSW
• Bianca Kdeiss, PSYD
• Susan Phillips Keane, PH.D.
• Thomas G Keane, PH.D.
• Kevin A Keating, DDS

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.