Kaitlyn Reidy

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6451022965 Issued in MI

Practice address

24901 Northwestern Hwy Ste 500
Southfield, MI 48075-2212

Phone

(248) 365-8425

NPI assigned

May 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Orchards Children's Services, Inc

  • Community/Behavioral Health Agency
  • Sterling Heights, MI
  • NPI 1700093143
  NPD
• Orchards Children's Services, Inc.

  • Community/Behavioral Health Agency
  • Southfield, MI
  • NPI 1356554059

  Clinical

  NPD

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1487347258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752212",
            "telephone_number": "248-365-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752212",
            "telephone_number": "248-365-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6451022965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chimere Reid
• Elizabeth Reid
• Kelly Reid
• Sharnae Reid
• Toni Reid
• Sara Reifman-Lienert, MA CCC-SLP
• Melissa Elizabeth Reilley, LLMSW
• Jaquelle Reisner
• Rejuvenate Physical Therapy
• Reliability Home Health Services,P.C.

• Clinical Psychologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.