I Kaleidoscope, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

I KALEIDOSCOPE, PLLC

Practice address

1785 W Stadium Blvd Ste 104
Ann Arbor, MI 48103-5285

Phone

(734) 887-1144

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Catherine Bakhai, LMSWNPI 1891059119

Title

Clinical Social Worker

Phone

(734) 881-2723

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Kimberly Bakhai, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1891059119
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1578288361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD STE 104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD STE 104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035285",
            "telephone_number": "734-887-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I KALEIDOSCOPE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-12",
        "status": "A",
        "authorized_official_last_name": "BAKHAI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "734-881-2723",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jori Ferron Hynek, CRNA
• Hyssong Counseling Services, LLC
• Emily Laura Hyssong, LMSW
• Hyun Sheen DDS, PLLC (Ann Arbor Family Dentistry)
• Robert Curtis Hyzy, MD
• Maria Iacopelli-Barker, CRNA
• Alessandra Iaderosa, MSW
• Alison Iafrate
• Steven Anthony Iannucci
• Anna Iaquaniello

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.