Keystone Behavioral Health PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801082631 Issued in MI

Legal business name

KEYSTONE BEHAVIORAL HEALTH PLLC

Practice address

28175 Haggerty Rd
Novi, MI 48377-2903

Phone

(734) 646-5327

NPI assigned

Jun 3, 2016

Last updated

Jun 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan L Taylor, LMSWNPI 1508984568

Title

Owner

Phone

(734) 646-5327

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Lynn Taylor, LMSW

  • Social Worker
  • Novi, MI
  • NPI 1508984568
  Authorized official Same address or phone

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1184073868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28175 HAGGERTY RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772903",
            "telephone_number": "734-646-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-646-5327",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William K. Kesto, MD
• Ket Chiropractic Center P.C. (Chiropractic Performance Solutions)
• Kevin C Sorensen DPM PC (Novi Foot & Ankle Specialist)
• Kevin C Sorensen, DPM, PC
• Kaleigh Keyandwy
• Keystone Family Pharmacy, LLC
• Keystone Specialty Care Pharmacy
• Pontsho Kgope
• Kha H. Ngo, D.O., P.L.L.C.
• Sonia Najma Khaleel, LLMSW

• Clinical Social Worker in Novi, MI
• Providers in Novi, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.