Kahm Clinic Iop-PHP LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KAHM CLINIC IOP-PHP LLC

Doing business as

Kahm Center for Eating Disorders

Practice address

1 Mill St Ste 233
Burlington, VT 05401-1530

Phone

(802) 881-2936

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Kahm, MBR

Title

Owner

Phone

(802) 881-2936

Specialties & licenses 9

Addresses

Other names 1

• KAHM CENTER FOR EATING DISORDERS Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan R Hutchings, MSW

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1245524180
  NPD
• Jody Lynn Drange, RD, CDE, ACSM EP-C

  • Registered Dietitian
  • Gilbert, AZ
  • NPI 1174703466

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1518675644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL ST STE 233",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011530",
            "telephone_number": "802-881-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST STE 233",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011530",
            "telephone_number": "802-881-2936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 S Winooski Ave Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054013969",
            "country_code": "US",
            "telephone_number": "802-881-2936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAHM CLINIC IOP-PHP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "KAHM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-881-2936",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAHM CENTER FOR EATING DISORDERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Kader, MDCM
• Shannon Kadish, LICSW
• Kelly Kaeding, M.S., L.AC.
• Benjamin David Kagan, MD
• Kahm Clinic
• Sidika Kajtezovic
• Sravan Kakani, MD
• Michael Angelo Kakos, DO
• Sarah Kalinowski, PMHNP-DNP
• Lara Marie Kalix-Crisafi, NP

• Adult Mental Health Clinic/Center in Burlington, VT
• Providers in Burlington, VT by specialty
• Adult Mental Health Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.