Provider Demographics
NPI:1508683434
Name:AKARI ASSESSMENT & PSYCHOTHERAPY
Entity type:Organization
Organization Name:AKARI ASSESSMENT & PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AKI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAWAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-386-0369
Mailing Address - Street 1:1091 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2801
Mailing Address - Country:US
Mailing Address - Phone:734-386-0369
Mailing Address - Fax:
Practice Address - Street 1:1091 GREEN RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2801
Practice Address - Country:US
Practice Address - Phone:734-386-0369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty