Healthcare Provider Details

I. General information

NPI: 1457458374
Provider Name (Legal Business Name): PAUL KAYE, PH.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8137 S RUSTIC DR
CEDAR MI
49621-0301
US

IV. Provider business mailing address

PO BOX 325
CEDAR MI
49621-0301
US

V. Phone/Fax

Practice location:
  • Phone: 248-399-2122
  • Fax: 248-399-2122
Mailing address:
  • Phone: 248-399-2122
  • Fax: 248-399-2122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number6301002096
License Number StateMI

VIII. Authorized Official

Name: DR. PAUL KAYE
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 248-399-2122