MEDICARE: DR. KALAPPURACKAL CHACKO JOSEPH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	KJ 050850	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922195999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KALAPPURACKAL CHACKO JOSEPH MD

Provider Business Mailing Address
First Line	:	2525 CROOKS RD
Second Line	:	STE 100
City	:	TROY
State	:	MI
Zip	:	48084-4733
Country	:	US
Telephone Number	:	248-740-9360
Fax Number	:	248-740-9374

Provider Business Practice Location Address
First Line	:	2525 CROOKS RD
Second Line	:	STE 100
City	:	TROY
State	:	MI
Zip	:	48084-4733
Country	:	US
Telephone Number	:	248-740-9360
Fax Number	:	248-740-9374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	04/19/2016

Similar Medicare Providers

1942179262 — SUZAN SAAD YACOUB JOHNSON PMHNP
Practice Location Address:

2525 CROOKS RD STE 100
TROY, MI
48084-4733

Practice Phone: 248-731-7305
Practice Fax:

1033215033 — MS. SHARON GARANT LMSW
Practice Location Address:

2525 CROOKS RD , STE. 100
TROY, MI
48084-4733

Practice Phone: 248-731-7305
Practice Fax: 248-731-7388

1144317116 — MICHIGAN BEHAVIORAL MEDICINE PLLC
Practice Location Address:

2525 CROOKS RD , SUITE #101
TROY, MI
48084-4733

Practice Phone: 248-731-7305
Practice Fax:

1316060114 — DR. JACKSON E TURNER JR. PH.D.
Practice Location Address:

2525 CROOKS RD STE 100
TROY, MI
48084-4733

Practice Phone: 248-731-7305
Practice Fax: 248-731-7388

1205134525 — MICHIGAN BEHAVIORAL MEDICINE
Practice Location Address:

2525 CROOKS RD STE 100
TROY, MI
48084-4733

Practice Phone: 248-731-7305
Practice Fax: 248-731-7288

1629401237 — MICHIGAN BEHAVIORAL HEALTH
Practice Location Address:

2525 CROOKS RD
TROY, MI
48084-4733

Practice Phone: 248-703-1897
Practice Fax:

Directions to “ DR. KALAPPURACKAL CHACKO JOSEPH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.