Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Melissa Ann Lidderdale, PHD

Individual provider Counseling Psychologist · NPI 1225158306

Dr. Melissa Ann Lidderdale, PHD is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 2009, 17 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1345 Monroe Ave NW Ste 252
Grand Rapids, MI 49505-4612
Phone: (616) 426-9193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1430 Michigan St Ne Ste 7, Grand Rapids, MI 49503-2035 — (616) 426-9193

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301014348 (MI)
Counseling Psychologist Taxonomy 103TC1900X · Licence 6301014348 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301014348 (MI)

Record details

NPI number1225158306
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 30, 2007
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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