Active NPI
Ralph Paul Keith, PHD
- Psychologist
- Ann Arbor, MI
National Provider Identifier
1245362664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301000703
- Practice address
- 424 Little Lake Dr Apt 9
Ann Arbor, MI 48103-6212 - Phone
- (734) 516-5470
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301000703 | MI | Primary |
Addresses
Primary practice location
424 Little Lake Dr Apt 9
Ann Arbor, MI 48103-6212
Mailing address
424 Little Lake Dr Apt 9
Ann Arbor, MI 48103-6212
Phone (734) 516-5470
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042902 | Other | VALUE OPTIONS | |
| OC81152 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301000703 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1245362664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 LITTLE LAKE DR APT 9",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481036212",
"telephone_number": "734-516-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 LITTLE LAKE DR APT 9",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481036212",
"telephone_number": "734-516-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "RALPH",
"middle_name": "PAUL",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301000703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "042902",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "OC81152",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.