KANETI PSYCHOLOGY SERVICES, LLC
NPI 1073112843
Clinic/Center - Adult Mental Health in Grand Rapids, MI

Active since October 22, 2020
4070 LAKE DR SE STE 101, GRAND RAPIDS, MI 49546(616) 449-2400 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2022, Oct 22, 2020 (2 updates tracked since 2020).

About Kaneti Psychology Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANETI PSYCHOLOGY SERVICES, LLC (NPI 1073112843) is a healthcare organization registered as an adult mental health in Grand Rapids, Michigan and active in the NPI registry since October 2020. The organization lists Catharine Kaneti, Owner, as its authorized official.

NPPES Registry Identity

NPI1073112843
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameKANETI PSYCHOLOGY SERVICES, LLC
Location Address4070 LAKE DR SE STE 101Grand Rapids, MI 49546-8294
Mailing Address4070 Lake Dr Se Ste 101Grand Rapids, MI 49546-8294 · (616) 246-1472
Organization SubpartNo
Authorized OfficialCatharine KanetiOwner · (616) 246-1472
Enumeration DateOctober 22, 2020
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
✔ NPI 1073112843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4070 LAKE DR SE STE 101, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaneti Psychology Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kaneti Psychology Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1841227659
235 WEALTHY STREET SE MARY FREE BED HOSPITAL
Grand Rapids, MI 49503
(616) 242-9201
✔ PECOS✔ Accepts Medicare5.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaneti Psychology Services, LLC's NPI number?

The NPI number for Kaneti Psychology Services, LLC is 1073112843. It was assigned to this organization in the NPPES registry on October 22, 2020.

Where is Kaneti Psychology Services, LLC located?

Kaneti Psychology Services, LLC is located at 4070 Lake Dr SE Ste 101, Grand Rapids, MI 49546. The listed phone number is (616) 449-2400.

What is Kaneti Psychology Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Kaneti Psychology Services, LLC enrolled in Medicare?

Yes. Kaneti Psychology Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kaneti Psychology Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kaneti Psychology Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kaneti Psychology Services, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kaneti Psychology Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaneti Psychology Services, LLC was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.