Emma Fay Kelly, MA

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6362009699 Issued in MI

Practice address

7035 Orchard Lake Rd Ste 800
West Bloomfield, MI 48322-5301

Phone

(248) 669-9500

NPI assigned

Jan 10, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1023722394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 CATALPA DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671153",
            "telephone_number": "248-912-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 ORCHARD LAKE RD STE 800",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483225301",
            "telephone_number": "248-669-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "EMMA",
        "middle_name": "FAY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6362009699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kebl
• Alexandra Kedzior
• Sabrina Kegley
• Melanie Keiffer, APRN
• Megan Lois Keller, OTR/L
• Robin D. Kelmenson, M.D.
• Saad P Kemennu, M.D.
• Lauren M Kemsuzian
• Natasha Kendal, PH.D.
• Nicole A Kennedy, MD

• Counseling Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.