Alicia Ellen Tisdale, PHD
Psychologist · West Bloomfield, MI
Alicia Ellen Tisdale, PHD is a psychologist with a practice address in West Bloomfield, Michigan, and NPI 1083622914, issued on Aug 4, 2006. Check the license (Michigan 6301003007, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Alicia Ellen Tisdale
- Credential
- PHD
- Primary taxonomy
- Psychologist 103T00000X
- License number
- 6301003007 MI
Self-reported in NPPES; status is on the state search - Practice location
- 5101 Willow Pond Drive, West Bloomfield, MI 48323
- Phone
- (248) 974-1783
- Enumerated
- Aug 4, 2006
- Record last updated
- Oct 30, 2025
- Medicare enrollment
- Enrolled (PECOS I20100607000096); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychologist records → All 2,549 in Michigan → Look up another NPI →
Verify Alicia Ellen Tisdale in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 6301003007Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Alicia Ellen Tisdale among 2,549 psychologist records in Michigan
Alicia Ellen Tisdale, PHD is one of 2,549 psychologist records with a practice address in Michigan. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 76% newer
- In a Medicare fileNo · 6% of these records are
- In the CMS Doctors and Clinicians fileYes · 12% of these records are
- Graduated1988 · median 1999 among the 308 with a school on file
- Record last updated2025 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Psychologist providers in Michigan
There are 2,549 psychologist records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,549 in Michigan → Every provider in West Bloomfield → Psychologist nationwide →
The 8 psychologist records with the nearest ZIP codes
- Cimone SafilianWest Bloomfield, MI 483231912653791
- Jennifer WallaceWest Bloomfield, MI 483231295083897
- Abraham Aharoni, PHDWest Bloomfield, MI 483221871684340
- Karen Bango, LLPWest Bloomfield, MI 483221023237732
- Brooke ColmanWest Bloomfield, MI 483221447822317
- Melanie CorlinWest Bloomfield, MI 483241588187561
- Emilie Dauch, LLPWest Bloomfield, MI 483221689893471
- Dennis Jacobs, PH.D.West Bloomfield, MI 483221962414193
Common questions
What is Alicia Ellen Tisdale, PHD's NPI number?
Alicia Ellen Tisdale, PHD's National Provider Identifier (NPI) is 1083622914, issued on Aug 4, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Alicia Ellen Tisdale, PHD located?
The NPPES record lists a practice address at 5101 Willow Pond Drive, West Bloomfield, MI, 48323. Phone: (248) 974-1783. Providers update this record themselves, so call before visiting.
How can I verify Alicia Ellen Tisdale, PHD's license?
NPPES lists Michigan license number 6301003007, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.