Ellen Keyt, PHD, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014137 Issued in MI

Legal business name

ELLEN KEYT, PHD, PLLC

Practice address

26789 Woodward Ave Ste 110
Huntington Woods, MI 48070-1334

Phone

(313) 492-0166

NPI assigned

Mar 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Louise Keyt, PHD, LP

Title

Clinical Psychologist

Phone

(313) 492-0166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1053610782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13932 ARNOLD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392817",
            "telephone_number": "313-492-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26789 WOODWARD AVE STE 110",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701334",
            "telephone_number": "313-492-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN KEYT, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "KEYT",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "313-492-0166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.