Active NPI
Joseph Keller, M.S., L.L.P.
- Cognitive & Behavioral Psychologist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 6301014249
- 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, 2013
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014249 | MI | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Psychiatry of Michigan PLLC | Current | Accepting new patients | |
| Samaritan Counseling Center of Southeastern Michigan | Past | 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 | |
| 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.
-
- Physician Assistant
- Wayne, MI
- NPI 1831701671
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wixom, MI
- NPI 1154230100
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Troy, MI
- NPI 1184533135
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plymouth, MI
- NPI 1417866450
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton Township, MI
- NPI 1528977543
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Farmington Hills, MI
- NPI 1043373137
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.