Active NPI
Kathryn Warren,Ma LLP
- Psychologist
- Grand Rapids, MI
National Provider Identifier
1760135743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- KATHRYN WARREN,MA LLP
- Practice address
- 2020 Raybrook St SE Ste 308
Grand Rapids, MI 49546-7717 - Phone
- (616) 649-1010
- Fax
- (616) 551-2895
- NPI assigned
- Jan 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn L Warren, MA LLP
- Title
- Owner
- Phone
- (616) 828-6827
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2020 Raybrook St SE Ste 308
Grand Rapids, MI 49546-7717
Mailing address
2020 Raybrook St SE Ste 308
Grand Rapids, MI 49546-7717
Phone (616) 649-1010
Other names 1
- Kathryn Warren,MA LLP
National Provider Directory
National Provider DirectoryLocations
2040 Raybrook St SE
Ste 201
Grand Rapids, MI 49546
2020 Raybrook St SE
Ste 308
Grand Rapids, MI 49546
Phone (616) 649-1010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Traverse City, MI
- NPI 1922305119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1760135743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 RAYBROOK ST SE STE 308",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495467717",
"telephone_number": "616-649-1010",
"fax_number": "616-551-2895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 RAYBROOK ST SE STE 308",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495467717",
"telephone_number": "616-649-1010",
"fax_number": "616-551-2895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHRYN WARREN,MA LLP",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-828-6827",
"authorized_official_credential": "MA LLP"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kathryn Warren,MA LLP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.