Active NPI
Melissa Kandah
- Psychologist
- Troy, MI
National Provider Identifier
1851690721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301011907
- Practice address
- 2221 Livernois Rd Ste 101
Troy, MI 48083-1603 - Phone
- (248) 544-0360
- NPI assigned
- Mar 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301011907 | MI | Primary |
Addresses
Primary practice location
2221 Livernois Rd Ste 101
Troy, MI 48083-1603
Mailing address
7340 Parkway CT
Canton, MI 48187-1509
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 |
|---|---|---|---|
| 6301011907 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1851690721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 PARKWAY CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481871509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 LIVERNOIS RD STE 101",
"city": "TROY",
"state": "MI",
"postal_code": "480831603",
"telephone_number": "248-544-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDAH",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301011907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.