Individual provider Active NPI

Linda Thibault, PSY. D.

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1952311201
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013018 Issued in MI
Practice address
20793 Farmington Rd
Suite #17
Farmington Hills, MI 48336-5182
Phone
(734) 657-8443
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013018 MI Primary

Addresses

Primary practice location

20793 Farmington Rd
Suite #17
Farmington Hills, MI 48336-5182

Mailing address

20793 Farmington Rd Ste 17
Farmington Hills, MI 48336-5182
Phone (734) 657-8443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120412000764 MI Practitioner - Clinical Psychologist 2163683459 Reassigns benefits to 1 organization
Practice locations: Farmington Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20793 Farmington Rd
Farmington, MI 48336-5182
Phone (734) 657-8443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301013018MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Thibault PSYD LP PLLC CurrentSince Sep 21, 2013 Accepting new patients
Kathryn Miller PHD PC CurrentSince Feb 8, 2012 Accepting new patients

Locations

19855 Outer Dr
Ste 300W
Dearborn, MI 48124
Phone (313) 359-1977

20793 Farmington Rd
Ste 17
Farmington Hills, MI 48336
Phone (734) 657-8443

Organizations & group practices 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1952311201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20793 FARMINGTON RD STE 17",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365182",
            "telephone_number": "734-657-8443",
            "fax_number": "877-689-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20793 FARMINGTON RD",
            "address_2": "SUITE #17",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365182",
            "telephone_number": "734-657-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBAULT",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.