Kelley, Michael E
Kelley, Michael E is an individual health care provider with primary practice located at 1500 E Medical Center Dr , Ann Arbor MI 48109-5000. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kelley, Michael E can be contacted via phone (734) 936-4000.Contact Information
Primary practice address
1500 E Medical Center Dr
Ann Arbor MI 48109-5000
Phone: (734) 936-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-05-2534 | Florida |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-05-2534 | Georgia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 1234 | Maine |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-05-2534 | Maine |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY8664 | Florida |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 760 | Nebraska |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301019270 | Michigan |
Profile Details
| NPI number | 1053492397 |
|---|---|
| LBN Legal business name | Kelley, Michael E |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Oct 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053492397 | NPPES |
| Florida | Other | PY8664 | FLORIDA PSYCHOLOGY LICENSE |
| Florida | MEDICAID | 019158700 | FLORIDA PSYCHOLOGY LICENSE |
| Florida | Other | 760 | FLORIDA PSYCHOLOGY LICENSE |
| Florida | MEDICAID | 522713395A | FLORIDA PSYCHOLOGY LICENSE |
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