Organization Active NPI

Katherine M Walden, M.D.

  • Psychiatry Physician
  • Kalamazoo, MI
National Provider Identifier
1568797678
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301071370 Issued in MI
Legal business name
KATHERINE M WALDEN, M.D.
Practice address
5320 Holiday Ter Ste 3
Kalamazoo, MI 49009-2100
Phone
(269) 353-3503
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Katherine M Walden, M.D.
Title
Owner
Phone
(269) 353-3503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301071370 MI Primary

Addresses

Primary practice location

5320 Holiday Ter Ste 3
Kalamazoo, MI 49009-2100

Mailing address

5320 Holiday Ter Ste 3
Kalamazoo, MI 49009-2100
Phone (269) 353-3503

National Provider Directory

National Provider Directory
Tax ID family
Katherine M Walden MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1568797678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 HOLIDAY TER STE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092100",
            "telephone_number": "269-353-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 HOLIDAY TER STE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092100",
            "telephone_number": "269-353-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE M WALDEN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-353-3503",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301071370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 7, 2009; 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.