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DR. MICHAEL PATRICK KAHWAJI PSYD
NPI 1679509806
Psychologist - Clinical in Bloomington, IL

Active since June 22, 2006
2502 B EAST EMPIRE, BLOOMINGTON, IL 61704(309) 663-7220(309) 664-6687 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Patrick Kahwaji Psyd NPPES

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

DR. MICHAEL PATRICK KAHWAJI PSYD (NPI 1679509806) is an individual clinical provider in Bloomington, Illinois and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1679509806
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL PATRICK KAHWAJICredential: PSYD
Location Address2502 B EAST EMPIREBloomington, IL 61704
Mailing AddressPo Box 604Bloomington, IL 61702-0604 · (309) 663-7220 · Fax (309) 664-6687
Phone(309) 663-7220
Fax(309) 664-6687
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679509806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2502 B EAST EMPIRE, Bloomington, IL 61704
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Other Identifiers 2

Medicare ID-Type UnspecifiedK14589IL
Other044404IL · Health Alliance

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 Michael Kahwaji's NPI number?

The NPI number for Michael Kahwaji is 1679509806. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Michael Kahwaji located?

Michael Kahwaji practices at 2502 B East Empire, Bloomington, IL 61704. The listed phone number is (309) 663-7220.

What is Michael Kahwaji's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Michael Kahwaji was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.