Kelly Kling-Selander, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008319 Issued in MI

Practice address

44555 Woodward Ave Ste 405
Pontiac, MI 48341-5036

Phone

(248) 335-4010

NPI assigned

Mar 26, 2007

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ismail B Sendi MD PCGroup PAC ID 4688674534, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ismail B. Sendi, MD, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarkston, MI
  • NPI 1609882067
  Medicare reassignment Care Compare group NPD
• Ismail B. Sendi, MD, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton Township, MI
  • NPI 1932370988
  NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295853604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 BLOOMFIELD PARK DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233515",
            "telephone_number": "248-865-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 405",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415036",
            "telephone_number": "248-335-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLING-SELANDER",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingsley Thomas, M.D., P.C.
• Regina Darlene Kinnard, MED.
• Amy Marie Kirby, MD
• KJW Home Health Care Services LLC
• Scott H. Kleiman, D.O.
• Michael John Knapp, CRNA
• Shivashankar Sundar Koduvayur
• Christina Catherine Koehler, MD
• Bella Mary Koepp, LLMSW
• Aditya Kohli

• Clinical Psychologist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.