Riley Ted Ubben

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

444 S Main St Ste 2
Ann Arbor, MI 48104-2304

Phone

(248) 851-7739

NPI assigned

Jul 1, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Joel L. Young, M.D., P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester Hills, MI
  • NPI 1396753729
  Medicare reassignment
• The Mel Bornstein Clinic for Psychoanalysis and Psychotherapy

  • Multi-Specialty Clinic/Center
  • Farmington Hills, MI
  • NPI 1023546389
  NPD (past)

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1881264752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 CHANDLER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051681",
            "telephone_number": "319-215-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S MAIN ST STE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042304",
            "telephone_number": "248-851-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBBEN",
        "first_name": "RILEY",
        "middle_name": "TED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rubben@melbornsteinclinic.org",
            "affiliation": "Y",
            "endpointDescription": "ProtonMail",
            "affiliationName": "THE MEL BORNSTEIN CLINIC FOR PSYCHOANALYSIS AND PSYCHOTHERAPY",
            "address_1": "444 S Main St Ste 2",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481042304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyler Sly Counseling Services
• Kelsey Tyler, BS
• Brittany Tyrrell, LSW, MSW
• Tracey A Tyus-Bailey, SW
• Sing-Yi Tzen
• Peter Anthony Ubel, MD
• Kellya Annisa Ubokudom, DO
• Aaron Mark Udager, M.D., PH.D.
• Kara Gaetke Udager, MD
• Rhead Uddin, MD

• Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.