Individual provider Active NPI

Joseph Keller, M.S., L.L.P.

  • Cognitive & Behavioral Psychologist
  • Ann Arbor, MI
National Provider Identifier
1366885352
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
6301014249 Issued in MI
Practice address
2890 Carpenter Rd
Ste. 1600
Ann Arbor, MI 48108-1100
Phone
(734) 677-0609
NPI assigned
Apr 9, 2013
Last updated
Apr 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 6301014249 MI Primary

Addresses

Primary practice location

2890 Carpenter Rd
Ste. 1600
Ann Arbor, MI 48108-1100

Mailing address

2890 Carpenter Rd
Ste. 1600
Ann Arbor, MI 48108-1100
Phone (734) 677-0609

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
Master of Science

State licenses

LicenseStateTypeSpecialty
6301014249MIMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Psychiatry of Michigan PLLC CurrentSince Jan 1, 2025 Accepting new patients
Samaritan Counseling Center of Southeastern Michigan Past Accepting new patients
Pure Psychiatry of Michigan PLLC PastSince Jan 1, 2025 Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients

Locations

5715 Bella Rosa Blvd
Ste 200
Clarkston, MI 48348
Phone (248) 657-4639

39600 Garfield Rd
Ste F
Clinton Twp, MI 48038
Phone (586) 307-6566

5123 W St Joe Hwy
Ste 205
Lansing, MI 48917
Phone (517) 327-0360

3751 N Dixie Hwy
Monroe, MI 48162
Phone (734) 241-5200

9333 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 414-7231

9401 General Dr
Ste J
Plymouth, MI 48170
Phone (734) 335-1336

650 E Big Beaver Rd
Ste C
Troy, MI 48083
Phone (248) 781-8921

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

28345 Beck Rd
Ste 110
Wixom, MI 48393
Phone (248) 274-4560

375 Eureka Rd
Ste B
Wyandotte, MI 48192
Phone (734) 225-9300

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1366885352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD",
            "address_2": "STE. 1600",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081100",
            "telephone_number": "734-677-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD",
            "address_2": "STE. 1600",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081100",
            "telephone_number": "734-677-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.S., L.L.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301014249",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 9, 2013; 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.