KALAMAZOO EVIDENCE BASED THERAPY
NPI 1457846529
Psychologist in Kalamazoo, MI
- Organization
- Psychologist
- Accepts Insurance
- CLIA Number: 23D0869384
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 08-31-2026
About KALAMAZOO EVIDENCE BASED THERAPY
This page provides the complete NPI Profile along with additional information for Kalamazoo Evidence Based Therapy, a provider established in Kalamazoo, Michigan operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1457846529 assigned on June 2018. The practitioner's primary taxonomy code is 103T00000X with license number 6301014776 (MI). The provider is registered as an organization and their NPI record was last updated 8 years ago. Kalamazoo Evidence Based Therapy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Victoria Cane Ph.d, Lp (Clinical Director)
- NPI
- 1457846529 Verify this NPI
- Provider Name
- KALAMAZOO EVIDENCE BASED THERAPY
- Entity Type
- Organization
- Location Address
- 530 NICHOLS RD KALAMAZOO, MI 49006
- Location Phone
- (269) 598-5861
- Location Fax
- (888) 889-7312
- Mailing Address
- 2020 GRAND AVE KALAMAZOO, MI 49006
- Mailing Phone
- (269) 598-5861
- Mailing Fax
- (888) 889-7312
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2018
- Last Update Date
- 06-29-2018
- Code Navigator
A psychologist like Kalamazoo Evidence Based Therapy studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6301014776
- License State
- MI
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0869384
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- STEVE POLLENS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Kalamazoo Evidence Based Therapy in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457846529, enumerated as an "organization" on June 29, 2018.
The provider is located at 530 NICHOLS RD KALAMAZOO, MI 49006 and the phone number is (269) 598-5861.
Psychologist with taxonomy code 103T00000X.
The provider might be accepting Accepts: Blue Care Network of Michigan. Please consult your insurance carrier or call the provider to verify.
