Alexandra Michelle Kahtava

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007297 Issued in MI

Practice address

3135 S State St Ste 108
Ann Arbor, MI 48108-1653

Phone

(734) 369-3180

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cypress Counseling Center, P.C.

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1679992432
  NPD

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1972095750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25566 TIREMAN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271130",
            "telephone_number": "734-883-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 S STATE ST STE 108",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081653",
            "telephone_number": "734-369-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHTAVA",
        "first_name": "ALEXANDRA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Kahler, MD
• Robin Lynn Kahler, LMSW
• Heather Lyn Kahn, RD
• Jason Kahn, MD
• Megan Boddy Kahn, CNM
• Ian Daniel Kain, CRNA
• Anson Edward Kairys, PHD
• Christopher Kaiser
• Damien S Kaiser, DDS
• Jacalyn Kaiser

• Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.