NPIMap

Organization Active NPI

Western Michigan University

  • Developmentally Disabled Services Day Training Agency
  • Kalamazoo, MI
National Provider Identifier
1831861293
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
WESTERN MICHIGAN UNIVERSITY
Practice address
1000 Oakland Dr FL 3
Kalamazoo, MI 49008-1282
Phone
(269) 387-7005
NPI assigned
Oct 4, 2021
Organization subpart
Yes
Parent organization
WESTERN MICHIGAN UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Dr. Carol Marie Sundberg, LMSW
Title
Director
Phone
(269) 760-6062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1000 Oakland Dr FL 3
Kalamazoo, MI 49008-1282

Mailing address

1000 Oakland Dr FL 3
Kalamazoo, MI 49008-1282
Phone (269) 387-7005

Other names 1

  • WMU Center for Disability Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Michigan Univer16 organizations share this tax ID, including this one
Part of
Western Michigan Univer

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1831861293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OAKLAND DR FL 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081282",
            "telephone_number": "269-387-7005",
            "fax_number": "269-387-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OAKLAND DR FL 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081282",
            "telephone_number": "269-387-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MICHIGAN UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MICHIGAN UNIVERSITY",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "SUNDBERG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-760-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WMU Center for Disability Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 2021; 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.