SUZANNE LYNN KELLER


Address: Upc Jefferson, 2751 E Jefferson Ste 400, Detroit, MI 48207
Phone: 8883627792

SUZANNE LYNN KELLER (NPI# 1598703662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598703662
Entity Type Individual
Full Name SUZANNE LYNN KELLER
Credential PHD
Practice Address Upc Jefferson
2751 E Jefferson Ste 400
Detroit
MI 48207
Mailing Address 3800 Woodward Ave
Suite 702
Detroit
MI 48201-2061
Practice Telephone 8883627792
Enumeration Date 2006-06-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301009504 MI Behavioral Health & Social Service Providers

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Office Location

Street Address UPC JEFFERSON
2751 E JEFFERSON STE 400
City DETROIT
State MI
Zip Code 48207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518904176 Natraj Sitaram Psychiatry & Neurology Upc Jefferson, 2751 E Jefferson Ste 200, Detroit, MI 48207 2006-06-01
1710927207 Jennifer E Warrow Social Worker Upc Jefferson, 2751 E Jefferson Ste 100, Detroit, MI 48201 2006-06-07
1396783452 Shahid Hussain Psychiatry & Neurology Upc Jefferson, 2751 E Jefferson Ste 100, Detroit, MI 48201 2006-06-02
1710925870 Javeed Syed Social Worker Upc Jefferson, 2751 E Jefferson Ste 100, Detroit, MI 48201 2006-06-02
1306884473 Claire Stroker Psychiatry & Neurology Upc Jefferson, 2751 E Jefferson Ste 100, Detroit, MI 48201 2006-06-02
1982641544 Ancuta E Matei Psychiatry & Neurology Upc Jefferson, 2751 E Jefferson Ste 200, Detroit, MI 48207 2006-06-01
1891732384 Matcheri S Keshavan Psychiatry & Neurology Upc Jefferson, 2751 E Jefferson Ste 500, Detroit, MI 48207 2006-06-01
1457398059 Alireza Amirsadri Psychiatry & Neurology Upc Jefferson, 2751 E Jefferson Ste 200, Detroit, MI 48207 2006-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245848506 Anton R Gonzales Physical Therapy Assistant 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 2020-07-22
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1649831439 Charday Penick Social Worker Team Wellness, 2925 Russell St, Detroit, MI 48207 2019-06-24
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1043723737 Olivia Carter Case Management 2712 Gratiot, Detroit, MI 48207 2017-11-16
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285129221 Wayne State University Psychologist 540 E Canfield St Ste 1241, Detroit, MI 48201 2018-06-22
1508362922 Claudia Anagurthi Psychologist Chm/specilty Center, 3950 Beaubien Ground Fl, Detroit, MI 48201 2018-04-04
1992136295 Marilyn Franklin Psychologist 9000 E Jefferson Ave Apt 28-17, Detroit, MI 48214-2940 2013-12-12
1144669318 Julia Helene Bellamy Psychologist 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 2013-06-20
1255675005 Nicole Henriksen Psychologist 4201 Saint Antoine St Ste 4b, Detroit, MI 48201 2012-11-17
1093061517 Kinneta Easter Mason Psychologist 19738 Fielding St, Detroit, MI 48219 2012-08-02
1376859785 Eugene Ronald Craig Psychologist 300 Riverfront Dr, Suite 16 H, Detroit, MI 48226-4516 2010-08-23
1902126725 Dana Raquel Lasenby Psychologist 3434 Russell St, Suite #307, Detroit, MI 48207-2062 2010-06-03
1699004614 Monica Anne Moore Psychologist 18940 Oak Dr, Detroit, MI 48221-2264 2009-12-22
1750610796 Sekai Denard Broaden Psychologist 14952 Rosemont Ave, Detroit, MI 48223-2364 2009-12-22
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Competitor

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City DETROIT
Zip Code 48207

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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