Lidderdale Consulting PLC
NPI 1568080687 · Clinical Psychologist · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lidderdale Consulting PLC is a Clinical Psychologist organization in Grand Rapids, MI (NPI 1568080687).
Provider details
- NPI number
- 1568080687
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Melissa Lidderdale, Psychologist/Owner(616) 426-9193
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
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
5 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
Other names (DBA / former)
- Former legal business name
- Melissa A. Lidderdale PLC
- Former legal business name
- Melissa A. Lidderdale PLC
Additional practice locations (1)
- 1430 Michigan St Ne Ste 7Grand Rapids, MI 49503-2035Phone: (616) 426-9193
Registry dates
- Enumerated
- 2020-07-07
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Lidderdale Consulting PLC's NPI number?
- Lidderdale Consulting PLC's National Provider Identifier (NPI) is 1568080687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lidderdale Consulting PLC?
- Lidderdale Consulting PLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Lidderdale Consulting PLC located?
- Lidderdale Consulting PLC's practice location on file with NPPES is 1345 Monroe Ave Nw Ste 252, Grand Rapids, MI 49505-4612.
- What is Lidderdale Consulting PLC's phone number?
- The practice phone number listed in the NPPES registry for Lidderdale Consulting PLC is (616) 426-9193.
- Does Lidderdale Consulting PLC accept Medicare?
- Lidderdale Consulting PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lidderdale Consulting PLC?
- The authorized official listed on Lidderdale Consulting PLC's NPPES record is Melissa Lidderdale, Psychologist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lidderdale Consulting PLC's NPI active?
- Yes — Lidderdale Consulting PLC's NPI (1568080687) 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.