Coddaire & Associates, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6301015429 Issued in MI

Legal business name

CODDAIRE & ASSOCIATES, INC.

Practice address

6445 Citation Drive, Suite H
Clarkston, MI 48346

Phone

(616) 706-8334

NPI assigned

Dec 30, 2015

Organization subpart

No

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

Authorized official

Name

Katelyn C Coddaire, MA, LLP, LPC

Title

Owner

Phone

(616) 706-8334

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1649635087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 CITATION DR STE H",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462996",
            "telephone_number": "616-706-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 CITATION DRIVE, SUITE H",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "48346",
            "telephone_number": "616-706-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODDAIRE & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "CODDAIRE",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-706-8334",
        "authorized_official_credential": "MA, LLP, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301015429",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401014746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.