KANETI PSYCHOLOGY SERVICES LLC NPI 1073112843

NPI Information

NPI: 1073112843
Provider Name: KANETI PSYCHOLOGY SERVICES, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
4070 LAKE DR SE STE 101
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 449-2400
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KANETI PSYCHOLOGY SERVICES, LLC is an adult mental health clinic center in Grand Rapids, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. KANETI PSYCHOLOGY SERVICES, LLC NPI is 1073112843. The provider is registered as an organization entity type.

The provider's business location address is:

4070 LAKE DR SE STE 101
GRAND RAPIDS, MI
ZIP 49546-294
Phone: (616) 449-2400

The provider's authorized official is Catharine Kaneti .
The authorized official title is Owner and has the following contact phone number (616) 246-1472.

The enumeration date for this NPI number is 10/22/2020 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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