Active NPI
Cleopas Allan Kaliati
- Psychologist
- Kalamazoo, MI
National Provider Identifier
1780456244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361006494
- Practice address
- 157 S Kalamazoo Mall Ste 250
Kalamazoo, MI 49007-4828 - Phone
- (269) 383-1440
- Fax
- (269) 383-9781
- NPI assigned
- Oct 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6361006494 | MI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6361006494 | MI | |
| Psychologist | 103T00000X | 6361006494 | MI | Primary |
Addresses
Primary practice location
157 S Kalamazoo Mall Ste 250
Kalamazoo, MI 49007-4828
Mailing address
6023 Litchfield LN
Kalamazoo, MI 49009-9128
Phone (269) 760-8553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361006494 | MI | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Place Counseling & Associate PLC | Psychologist | Current | Accepting new patients |
| TLS Litchfield, LLC | Past | Accepting new patients |
Locations
157 S Kalamazoo Mall
Ste 250
Kalamazoo, MI 49007
Phone (269) 383-1440
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Kalamazoo, MI
- NPI 1164638748
-
- Psychologist
- Kalamazoo, MI
- NPI 1730370206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1780456244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6023 LITCHFIELD LN",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490099128",
"telephone_number": "269-760-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 S KALAMAZOO MALL STE 250",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490074828",
"telephone_number": "269-383-1440",
"fax_number": "269-383-9781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALIATI",
"first_name": "CLEOPAS",
"middle_name": "ALLAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-26",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6361006494",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6361006494",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361006494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
- Kalamazoo Speech Associates, Inc.
- Kalamazoo TC Operator LLC
- Kalamazoo Valley Chiropractic, LLC
- Kalamazoo Valley Dental Care PC
- Kalamazoo Valley Family Practice PC
- Nancy Jean Kalinowski, M.D.
- Sandra Kaliszak, CRNA
- John Thomas Kallas, CRNA
- Kalmazoo Gastroenterology Hepatology and Digestive Health Center
- Indira K Kalmbach, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.