Individual provider Active NPI

Courtney Alane Eaddy-Richardson, PSYD

  • Psychologist
  • Van Buren Township, MI
National Provider Identifier
1841807294
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
25142150522 Issued in MI
Practice address
16206 Westlake Cir
Van Buren Township, MI 48111-6146
Phone
(734) 904-5075
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 25142150522 MI Primary

Addresses

Primary practice location

16206 Westlake Cir
Van Buren Township, MI 48111-6146

Mailing address

5961 Cottonwood Dr
Ypsilanti, MI 48197-8203
Phone (734) 904-5075

Other practice location 1

5961 Cottonwood Dr
Ypsilanti, MI 48197-8203
Phone (734) 904-5075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25142150522MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1841807294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 COTTONWOOD DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978203",
            "telephone_number": "734-904-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16206 WESTLAKE CIR",
            "city": "VAN BUREN TOWNSHIP",
            "state": "MI",
            "postal_code": "481116146",
            "telephone_number": "734-904-5075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5961 Cottonwood Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481978203",
            "country_code": "US",
            "telephone_number": "734-904-5075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EADDY-RICHARDSON",
        "first_name": "COURTNEY",
        "middle_name": "ALANE",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "25142150522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.