Individual provider Active NPI

Kulkiran Nakai, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1538673264
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301016889 Issued in MI
Practice address
122 S Main St Ste 200
Ann Arbor, MI 48104-1925
Phone
(734) 945-6210
Fax
(734) 207-5326
NPI assigned
Nov 16, 2017
Last updated
Nov 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 6301016889 MI Primary

Addresses

Primary practice location

122 S Main St Ste 200
Ann Arbor, MI 48104-1925

Mailing address

122 S Main St Ste 200
Ann Arbor, MI 48104-1925
Phone (734) 945-6210

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
I20260622001855 MI Practitioner - Clinical Psychologist 7416420492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40433 Koppernick Rd
Canton, MI 48187-4283

PO Box
Suite 131487
Ann Arbor, MI 48113-1487

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301016889MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine and Shadow, LLC Clinical Current Accepting new patients
Azaad Healing Justice Studio Clinical Current Accepting new patients
Integrative Empowerment Group, PLLC Clinical Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1538673264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041925",
            "telephone_number": "734-945-6210",
            "fax_number": "734-207-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041925",
            "telephone_number": "734-945-6210",
            "fax_number": "734-207-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAI",
        "first_name": "KULKIRAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.