Individual provider Active NPI

Kelly Jean Savage, M.S., LLP, PSY.S

  • Rehabilitation Psychologist
  • Canton, MI
National Provider Identifier
1801139134
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
6361006739 Issued in MI
Practice address
42180 Ford Rd Ste 305
Canton, MI 48187-3677
Phone
(586) 871-8876
NPI assigned
Apr 4, 2013
Last updated
Feb 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X 6361006739 MI Primary

Addresses

Primary practice location

42180 Ford Rd Ste 305
Canton, MI 48187-3677

Mailing address

PO Box 51365
Livonia, MI 48151-5365
Phone (586) 871-8876

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6361006739MIMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapy Services, PLLC Past Accepting new patients
Aspire Rehabilitation Services, LLC Rehabilitation Past Accepting new patients

Organizations & group practices 2

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1801139134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51365",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481515365",
            "telephone_number": "586-871-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42180 FORD RD STE 305",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873677",
            "telephone_number": "586-871-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "credential": "M.S., LLP, PSY.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MI",
            "license": "6361006739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2024; 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.