NPIMap

Organization Active NPI

Kalamazoo Autism Center

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
National Provider Identifier
1538519947
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KALAMAZOO AUTISM CENTER
Practice address
4200 S Westnedge Ave
Kalamazoo, MI 49008-3208
Phone
(269) 599-5769
NPI assigned
Jun 16, 2016
Organization subpart
Yes
Parent organization
WESTERN MICHIGAN UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Dr. Kelly Kohler, BCBA-D, PHD
Title
Director
Phone
(269) 599-5769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4200 S Westnedge Ave
Kalamazoo, MI 49008-3208

Mailing address

4200 S Westnedge Ave
Kalamazoo, MI 49008-3208

Other names 1

  • KAC Other name

National Provider Directory

National Provider Directory
Tax ID family
Western Michigan Univer16 organizations share this tax ID, including this one
Part of
Western Michigan Univer

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

4200 S Westnedge Ave
Kalamazoo, MI 49008
Phone (269) 381-3500

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1538519947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083208",
            "telephone_number": "269-599-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO AUTISM CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MICHIGAN UNIVERSITY",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-599-5769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA-D, PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.