Individual provider Active NPI

Ryan John Keller, LLMSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1548153620
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851119945 Issued in MI
Practice address
32841 Middlebelt Rd Ste 403
Farmington Hills, MI 48334-1714
Phone
(248) 851-7739
NPI assigned
May 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851119945 MI Primary

Addresses

Primary practice location

32841 Middlebelt Rd Ste 403
Farmington Hills, MI 48334-1714

Mailing address

3921 Miracles Blvd
Detroit, MI 48201-1543
Phone (586) 929-0384

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851119945MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mel Bornstein Clinic for Psychoanalysis and Psychotherapy CurrentSince Jun 3, 2025 Accepting new patients

Locations

32841 Middlebelt Rd
Ste 403
Farmington Hills, MI 48334
Phone (248) 851-7739

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1548153620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 MIRACLES BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011543",
            "telephone_number": "586-929-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32841 MIDDLEBELT RD STE 403",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341714",
            "telephone_number": "248-851-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "RYAN",
        "middle_name": "JOHN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851119945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.