KELATESS PC
NPI 1659305860
Psychologist - Clinical in Burton, MI

Active since July 11, 2006
1441 E MAPLE AVE, BURTON, MI 48529(810) 820-6265 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelatess Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELATESS PC (NPI 1659305860) is a healthcare organization registered as a clinical in Burton, Michigan and active in the NPI registry since July 2006. The organization lists Matthew P. Dickson, President, as its authorized official.

NPPES Registry Identity

NPI1659305860
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKELATESS PC
Location Address1441 E MAPLE AVEBurton, MI 48529-2059
Mailing Address7382 Mohansic DrBloomfield Hills, MI 48301-3552 · (810) 606-1099
Organization SubpartNo
Authorized OfficialMatthew P. DicksonPresident · (810) 606-1099
Enumeration DateJuly 11, 2006
Last NPPES UpdateNovember 30, 2016
NPI 1659305860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301006835
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1441 E MAPLE AVE, Burton, MI 48529

Other Identifiers 1

Other680F33159MI · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1441 E MAPLE AVE
BURTON, MI 48529

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelatess PC's NPI number?

The NPI number for Kelatess PC is 1659305860. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Kelatess PC located?

Kelatess PC is located at 1441 E Maple Ave, Burton, MI 48529. The listed phone number is (810) 820-6265.

What is Kelatess PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kelatess PC was last updated on November 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.