Individual provider Active NPI

Keisha Lynette Bell, MS

  • Psychologist
  • Northville, MI
National Provider Identifier
1306221171
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301016270 Issued in MI
Practice address
194 E Main St
Northville, MI 48167-1620
Phone
(313) 656-4052
Fax
(313) 656-4053
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 22282 NY
Psychologist 103T00000X 6301016270 MI Primary

Addresses

Primary practice location

194 E Main St
Northville, MI 48167-1620

Mailing address

194 E Main St
Northville, MI 48167-1620
Phone (313) 656-4052

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kbell108322@direct.urmc.rochester.edu Direct
Direct Messaging Address kbell108322@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20181004002734 NY Practitioner - Clinical Psychologist 7810249687 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301016270MIMDPsychologist
22282NYMDPsychologist
022282NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jan 8, 2021 Accepting new patients
University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jan 8, 2021 Accepting new patients
University of Rochester CurrentSince Mar 1, 2021 Accepting new patients
Reproductive Endocrinology Infertility GP of Univ of Roch Current Accepting new patients
University of Rochester CurrentSince Mar 1, 2021 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Highlands Womens Health CurrentSince Jan 23, 2021 Accepting new patients
University of Rochester Department of Psychiatry Clinical Group Psychologist CurrentSince Sep 1, 2018 Accepting new patients
Strong Obstetrics-Gynecology Group CurrentSince Jul 23, 2020 Accepting new patients
Imagine Center LLC Past Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

1000 South Ave
#116
Rochester, NY 14620
Phone (585) 341-6734

601 Elmwood Ave
#320
Rochester, NY 14642

300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3569

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1306221171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671620",
            "telephone_number": "313-656-4052",
            "fax_number": "313-656-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671620",
            "telephone_number": "313-656-4052",
            "fax_number": "313-656-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "KEISHA",
        "middle_name": "LYNETTE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "22282",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbell108322@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbell108322@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.