Provider Demographics
NPI:1457458374
Name:PAUL KAYE, PH.D. P.C.
Entity Type:Organization
Organization Name:PAUL KAYE, PH.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-399-2122
Mailing Address - Street 1:25504 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1752
Mailing Address - Country:US
Mailing Address - Phone:248-399-2122
Mailing Address - Fax:248-399-2122
Practice Address - Street 1:25504 SHERWOOD DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1752
Practice Address - Country:US
Practice Address - Phone:248-399-2122
Practice Address - Fax:248-399-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301002096305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION82260Medicare ID - Type Unspecified