KANETI PSYCHOLOGY SERVICES, LLC (NPI# 1073112843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073112843 |
| Entity Type | Organization |
| Organization Name | KANETI PSYCHOLOGY SERVICES, LLC |
| Practice Address |
4070 Lake Dr Se Ste 101 Grand Rapids MI 49546-8294 |
| Mailing Address |
900 Orchard Ave Se Grand Rapids MI 49506-3447 |
| Practice Telephone | 6164492400 |
| Mailing Telephone | 6162461472 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | DR. CATHARINE KANETI (OWNER) |
| Authorized Official Telephone | 6162461472 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
4070 LAKE DR SE STE 101 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376739771 | Lavange E Barth | Social Worker | 4070 Lake Dr Se Ste 101, Grand Rapids, MI 49546-8294 | 2007-09-19 |
| 1982242079 | Andrea Beck-lundskow LLC | Clinic/Center | 4070 Lake Dr Se Ste 101, Grand Rapids, MI 49546-8294 | 2019-12-19 |
| 1235776576 | Kelli Kay Leask | Obstetrics & Gynecology | 4070 Lake Dr Se Ste 101, Grand Rapids, MI 49546-8294 | 2019-12-05 |
| 1073081758 | Sharon Depcinski, LLC | Social Worker | 4070 Lake Dr Se Ste 101, Grand Rapids, MI 49546-8294 | 2018-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442142 | Comprehensive Health and Home Care Services LLC | Clinic/Center | 2505 Burton St Se Ste 102a, Grand Rapids, MI 49546-4804 | 2020-09-16 |
| 1790385573 | Steffen Counseling L.l.c | Clinic/Center | 3280 E Beltline Ct Ne, Grand Rapids, MI 49525-9494 | 2020-10-29 |
| 1902430119 | Alexis W Incorporated | Clinic/Center | 2716 E Paris Ave Se, Grand Rapids, MI 49546-6139 | 2020-02-26 |
| 1134686140 | Julie Alicki Counseling Services | Clinic/Center | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525-9349 | 2019-02-26 |
| 1972069771 | Pearl Street Counseling LLC | Clinic/Center | 40 Pearl St Nw Ste 341, Grand Rapids, MI 49503-3028 | 2019-02-17 |
| 1730459116 | Cherry Street Health Services | Clinic/Center | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2012-01-03 |
| 1982908323 | Robert W Van Noord PC | Clinic/Center | 4133 Embassy Dr Se, Grand Rapids, MI 49546-2418 | 2010-12-28 |
| 1275653115 | Great Lakes Psychiatric Services, P.C. | Clinic/Center | 1179 E Paris Ave Se, Suite 220, Grand Rapids, MI 49546-8371 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1356941280 | Peaceful Pride Counseling LLC | Clinic/Center | 3916 Nottingham Ter, Midland, MI 48642-6217 | 2020-10-29 |
| 1356961064 | Turning Point Day Program Center | Clinic/Center | 19720 Dorset St, Southfield, MI 48075-3925 | 2020-04-22 |
| 1316585367 | Valarie James, LLC | Clinic/Center | 1290 36th St Sw, Wyoming, MI 49509-3468 | 2019-12-19 |
| 1306484175 | Joy Counseling Services Pllc | Clinic/Center | 1000 W Maple Rd Ste 108, Troy, MI 48084-5306 | 2019-12-12 |
| 1922646751 | Tranquility Christian Counseling Inc | Clinic/Center | 24100 Southfield Rd Ste 320f, Southfield, MI 48075-2819 | 2019-12-11 |
| 1982241964 | Marquette Counseling Service | Clinic/Center | Lori Johnson, 112 W Washington Street Ste A, Marquette, MI 49855-3844 | 2019-12-09 |
| 1033769534 | Honor First | Clinic/Center | 25801 Harper Ave, Saint Clair Shores, MI 48081-2233 | 2019-09-17 |
| 1871140681 | Modern Family Counseling Center | Clinic/Center | 4195 Barcroft Way, West Bloomfield, MI 48323-1803 | 2019-08-26 |
| 1811545692 | Mindfulness Journey Counseling Pllc | Clinic/Center | 8406 Mabley Hill Rd, Fenton, MI 48430-9454 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.