Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6301010014 | MI |
Y | 103T00000X | Psychologist | 6301010014 | MI |
N | 103TA0700X | Adult Development & Aging Psychologist | 6301010014 | MI |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 6301010014 | MI |
N | 103G00000X | Clinical Psychologist | 6301010014 | MI |
N | 103TC0700X | Clinical Psychologist | 6301010014 | MI |
N | 103TC1900X | Counseling Psychologist | 6301010014 | MI |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 6301010014 | MI |
N | 103TF0000X | Family Psychologist | 6301010014 | MI |
N | 103TH0100X | Health Service | 6301010014 | MI |
N | 103TM1800X | Intellectual & Developmental Disabilities | 6301010014 | MI |
N | 103TP2701X | Group Psychotherapist | 6301010014 | MI |
N | 103TS0200X | School Psychologist | 6301010014 | MI |
NPI | 1356594956 |
---|---|
Provider Name | Dr. Gail Ann Kaye |
First Address | West Bloomfield, MI 48322 |
Second Address | Bingham Farms, MI 48025-4514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 28/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6301010014 | FULLY LICENSED PSYCHOLOGIST (01) | MI |
680F33085 | BCBS PROVIDER NUMBER (01) | MI |