Lidderdale Consulting PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIDDERDALE CONSULTING PLC

Practice address

1345 Monroe Ave NW Ste 252
Grand Rapids, MI 49505-4612

Phone

(616) 426-9193

NPI assigned

Jul 7, 2020

Organization subpart

No

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

Authorized official

Name

Melissa Ann Lidderdale, PHDNPI 1225158306

Title

Psychologist/Owner

Phone

(616) 426-9193

Specialties & licenses 3

Addresses

Other names 1

• Melissa A. Lidderdale PLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Lidderdale Consulting PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lidderdale Consulting PLC

  • Psychologist
  • Grand Rapids, MI
  • NPI 1871613968
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ann Lidderdale, PHD

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1225158306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1568080687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 COURTLAND ST UNIT 794",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493415027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 MONROE AVE NW STE 252",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054612",
            "telephone_number": "616-426-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Michigan St NE Ste 7",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032035",
            "country_code": "US",
            "telephone_number": "616-426-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIDDERDALE CONSULTING PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "LIDDERDALE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "616-426-9193",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa A. Lidderdale PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Melissa A. Lidderdale PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Seraphino Licastro
• Kimberly Sue Lichon-Tufer, LMSW
• Melissa Lichtenwalter, RN
• Ladonna G Lichterman, CRNA
• Sarah Lickiss, LMSW
• Lidderdale Consulting PLC
• Melissa Ann Lidderdale, PHD
• Amanda Liddicoat, MS, CGC
• Kelsey Lynn Liddil, OTRL
• Laken Liddle

• Clinical Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.