Melissa Lidderdale, PHD
NPI 1225158306 · Clinical Psychologist · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melissa Lidderdale, PHD is a Clinical Psychologist provider in Grand Rapids, MI (NPI 1225158306).
Provider details
- NPI number
- 1225158306
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6301014348 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1430 Michigan St Ne Ste 7Grand Rapids, MI 49503-2035Phone: (616) 426-9193
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Melissa Lidderdale's NPI number?
- Melissa Lidderdale's National Provider Identifier (NPI) is 1225158306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Lidderdale's specialty?
- Melissa Lidderdale is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Melissa Lidderdale located?
- Melissa Lidderdale's practice location on file with NPPES is 1345 Monroe Ave Nw Ste 252, Grand Rapids, MI 49505-4612.
- What is Melissa Lidderdale's phone number?
- The practice phone number listed in the NPPES registry for Melissa Lidderdale is (616) 426-9193.
- Does Melissa Lidderdale accept Medicare?
- Melissa Lidderdale is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melissa Lidderdale's NPI active?
- Yes — Melissa Lidderdale's NPI (1225158306) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.