Sheryl Kelly Backeberg, PH.D., LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301018435 Issued in MI

Practice address

46036 Michigan Ave # 310
Canton, MI 48188-2304

Phone

(734) 336-0263

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Sky Counseling & Consulting, LLC

  • Adult Mental Health Clinic/Center
  • Oak Park, IL
  • NPI 1205515541
  NPD Authorized official
• E Gonzalez Counseling, PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1215475934
  NPD (past)
• Lotus Consulting PLLC Ilona Phillips LMSW PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1275910531
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1275100331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46036 MICHIGAN AVE # 310",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882304",
            "telephone_number": "734-335-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46036 MICHIGAN AVE # 310",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882304",
            "telephone_number": "734-336-0263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Liberty St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042156",
            "country_code": "US",
            "telephone_number": "734-335-0263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKEBERG",
        "first_name": "SHERYL",
        "middle_name": "KELLY",
        "credential": "PH.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.022104",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayman Daoud MD PC
• Umayr Azimi, M.D.
• Lance Azzo
• Babar a Qadri Integrative Medicine
• Lynn Baca, M.D.
• Aram A. Bagdasarian, D.D.S.
• Mahnoor Fatima Baig
• Malinda Joy Bailey
• Teri Baker, LMSW
• Maisaa Bakour

• Psychologist in Canton, MI
• Providers in Canton, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.