NPIMap

Organization Active NPI

Apex Therapy Services, Inc

  • Clinical Psychologist
  • Bingham Farms, MI
National Provider Identifier
1881036754
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301007666 Issued in MI
Legal business name
APEX THERAPY SERVICES, INC
Practice address
30200 Telegraph Rd
Suite 207
Bingham Farms, MI 48025-4502
Phone
(248) 712-1129
Fax
(248) 792-3249
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Dr. Ray Louis Kamoo, PH.D.
Title
Owner
Phone
(248) 910-0914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301007666 MI Primary

Addresses

Primary practice location

30200 Telegraph Rd
Suite 207
Bingham Farms, MI 48025-4502

Mailing address

30200 Telegraph Rd
Suite 207
Bingham Farms, MI 48025-4502
Phone (248) 712-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140703000216 MI Part B Supplier - Clinic/Group Practice 1951526029 Receives reassigned benefits from 6 practitioners
Practice locations: Trenton, MI; Kalamazoo, MI; Bingham Farms, MI

National Provider Directory

National Provider Directory

Locations

3030 S 9th St
Ste 3A
Kalamazoo, MI 49009

6980 Stadium Dr
Ste 101
Kalamazoo, MI 49009
Phone (269) 267-0889

245 N Rose St
Ste 200
Kalamazoo, MI 49007

2674 W Jefferson Ave
Ste 100
Trenton, MI 48183
Phone (734) 365-8801

2674 W Jefferson Ave
Ste 206
Trenton, MI 48183

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1881036754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-712-1129",
            "fax_number": "248-792-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-712-1129",
            "fax_number": "248-792-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "KAMOO",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-910-0914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.