Melissa Ann Lidderdale, PHD
Clinical Psychologist · Grand Rapids, MI
Melissa Ann Lidderdale, PHD is a clinical psychologist with a practice address in Grand Rapids, Michigan, and NPI 1225158306, issued on Mar 30, 2007. Check the license (Michigan 6301014348, 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
- Melissa Ann Lidderdale
- Credential
- PHD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 6301014348 MI
Self-reported in NPPES; status is on the state search - Practice location
- 1345 Monroe Ave NW Ste 252, Grand Rapids, MI 49505
- Phone
- (616) 426-9193
- Enumerated
- Mar 30, 2007
- Record last updated
- Dec 2, 2025
- Medicare enrollment
- Enrolled (PECOS I20121107000743); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 2,965 in Michigan → Look up another NPI →
Verify Melissa Ann Lidderdale in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 6301014348Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Melissa Ann Lidderdale among 2,965 clinical psychologist records in Michigan
Melissa Ann Lidderdale, PHD is one of 2,965 clinical psychologist records with a practice address in Michigan. 13% 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 2007, is newer than 21% of them.
- NPI issued2007 · 21% of these records are older, 61% newer
- In a Medicare fileNo · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 24% of these records are
- Graduated2009 · median 2005 among the 697 with a school on file
- Record last updated2025 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
183 clinical psychologist records list a practice address in Grand Rapids
They are 183 of the 18,005 NPPES records with a practice address in Grand Rapids, and 2,965 clinical psychologist records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,965 in Michigan → Every provider in Grand Rapids → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Judy CumberlandGrand Rapids, MI 495051063609691
- Daniel Henderson, PHDGrand Rapids, MI 495051518927573
- Paul Hewitt, PSYDGrand Rapids, MI 495051851549745
- Marcia Hollingsworth, EDDGrand Rapids, MI 495051023070315
- Krissa Kirby, PH.DGrand Rapids, MI 495051386639870
- Judith Kuiper, PHD LLPGrand Rapids, MI 495051740240704
- Nicole Marganti, PSY.D.Grand Rapids, MI 495051073926457
- Jenifer Pastyrnak, M.S., LLPGrand Rapids, MI 495051326168238
Common questions
What is Melissa Ann Lidderdale, PHD's NPI number?
Melissa Ann Lidderdale, PHD's National Provider Identifier (NPI) is 1225158306, issued on Mar 30, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Melissa Ann Lidderdale, PHD located?
The NPPES record lists a practice address at 1345 Monroe Ave NW Ste 252, Grand Rapids, MI, 49505. Phone: (616) 426-9193. Providers update this record themselves, so call before visiting.
How can I verify Melissa Ann Lidderdale, PHD's license?
NPPES lists Michigan license number 6301014348, 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.