Individual provider Active NPI

Nicole Redko, M.A. LLP

  • Psychologist
  • Auburn Hills, MI
National Provider Identifier
1932083201
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361007771 Issued in MI
Practice address
3121 University Dr Ste 120
Auburn Hills, MI 48326-4606
Phone
(248) 564-8050
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 6361007771 MI Primary

Addresses

Primary practice location

3121 University Dr Ste 120
Auburn Hills, MI 48326-4606

Mailing address

1112 Baker CT
Troy, MI 48083-5448
Phone (248) 797-5118

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6361007771MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sollars and Associates Psychologist PastSince Aug 3, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1932083201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 BAKER CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835448",
            "telephone_number": "248-797-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 UNIVERSITY DR STE 120",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264606",
            "telephone_number": "248-564-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDKO",
        "first_name": "NICOLE",
        "credential": "M.A. LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.