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C. RICHARD SPATES PH.D. PROFESSIONAL PSYCHOLOGY PC NPI 1831586023


NPI Information

NPI: 1831586023
Provider Name: C. RICHARD SPATES, PH.D., PROFESSIONAL PSYCHOLOGY PC

Doing Business As: C. RICHARD SPATES, PH.D., PC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4715 CARVER DR
KALAMAZOO, MI
ZIP 49009
Phone: (269) 599-6869
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C. RICHARD SPATES, PH.D., PROFESSIONAL PSYCHOLOGY PC is a community behavioral health in Kalamazoo, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. C. RICHARD SPATES, PH.D., PROFESSIONAL PSYCHOLOGY PC NPI is 1831586023. The provider is registered as an organization entity type.
The provider Is Doing Business As C. Richard Spates, Ph.d., Pc.

The provider's business location address is:

4715 CARVER DR
KALAMAZOO, MI
ZIP 49009-504
Phone: (269) 599-6869

The provider's authorized official is Charles Richard Spates .
The authorized official title is President and has the following contact phone number (269) 599-6869.

The enumeration date for this NPI number is 4/25/2015 and was last updated on 4/25/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health6301002505MICHIGANYes

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: 4/28/2024

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