DR. ELLEN LOUISE KEYT (NPI# 1851696488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851696488 |
| Entity Type | Individual |
| Full Name | DR. ELLEN LOUISE KEYT |
| Other Name | DR. ELLEN LOUISE FEDON-KEYT |
| Credential | PHD, LP |
| Practice Address |
Counseling & Resource Center of Dearborn 19855 W. Outer Drive Dearborn MI 48124 |
| Mailing Address |
43375 Citation Novi MI 48375 |
| Practice Telephone | 3133591977 |
| Mailing Telephone | 3134920166 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301014137 | MI | Behavioral Health & Social Service Providers |
| Street Address |
COUNSELING & RESOURCE CENTER OF DEARBORN 19855 W. OUTER DRIVE |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575762 | Authenticity Psychological Services | Psychologist | 24314 Cherry Hill St, Dearborn, MI 48124-1358 | 2020-07-13 |
| 1144798216 | Janelle A Smith | Psychologist | 2881 Monroe St # 201, Dearborn, MI 48124-3475 | 2018-11-07 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1649574526 | Tiffany Zlatich Tuttle | Psychologist | 19855 West Outer Dr Ste 104w, Dearborn, MI 48124-2022 | 2011-01-06 |
| 1689984213 | Justin Wayne Peer | Psychologist | 1 Parklane Blvd Ste 1210e, Dearborn, MI 48126-4283 | 2010-10-17 |
| 1952637126 | Melissa Marie Farrell | Psychologist | 1 Parklane Blvd, Dearborn, MI 48126 | 2009-10-23 |
| 1558594283 | George Psychological Services PC | Psychologist | 2314 Monroe, Dearborn, MI 48124-3045 | 2009-08-28 |
| 1063663714 | Maritaconstance Supan | Psychologist | 934 Mason St, Dearborn, MI 48124-2215 | 2008-09-30 |
| 1588710222 | Manuel Alexander Manrique | Psychologist | 22967 Outer Dr, Dearborn, MI 48124-4248 | 2007-01-26 |
| 1295898112 | Amy J Charness | Psychologist | 23810 Michigan Ave, Suite 202b, Dearborn, MI 48124-1830 | 2006-12-19 |
| Find all providers in DEARBORN | ||||
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| 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.