Michael Joseph Kellen, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 8815 Issued in FL

Practice address

3275 W Hillsboro Blvd
Suite # 110
Deerfield Beach, FL 33442-9536

Phone

(954) 571-5102

NPI assigned

Nov 15, 2014

Last updated

Nov 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416009600000",
    "number": "1730585936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 W HILLSBORO BLVD",
            "address_2": "SUITE # 110",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429536",
            "telephone_number": "954-571-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 W HILLSBORO BLVD",
            "address_2": "SUITE # 110",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429536",
            "telephone_number": "954-571-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-15",
        "last_updated": "2014-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amolpreet Kaur, MD
• Dylan Alexander Kautzmann
• Matthew Keany, DO
• Mary Kearns
• Tiecha Johnson Keiffer
• Margaret Keller
• Athena Kelley
• Cortney Kelly
• David Kelly
• Jetaime Kelly

• Psychologist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; 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.