MRS. CAROL KEIDAN MA LLP
NPI 1003852005
Psychologist - Family in Bloomfield Hills, MI

Q: What is Carol Keidan's NPI number?

The NPI number for Carol Keidan is 1003852005. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Q: What is Carol Keidan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

Q: When was this NPI record last updated?

The NPPES record for Carol Keidan was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2006PECOS Enrolled

43996 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302(248) 338-2988 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Carol Keidan Ma Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CAROL KEIDAN MA LLP (NPI 1003852005) is an individual family provider in Bloomfield Hills, Michigan, licensed in Michigan (4101005340) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003852005

Entity TypeIndividualFemale

Primary Taxonomy103TF0000X

Provider Legal NameMRS. CAROL KEIDANCredential: MA LLP

Location Address43996 WOODWARD AVEBloomfield Hills, MI 48302-5028

Mailing Address1800 W Lincoln StBirmingham, MI 48009-1834

Phone(248) 338-2988

Sole ProprietorNo

Enumeration DateJune 20, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1003852005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · FamilyBehavioral Health & Social Service Providers

Taxonomy Code103TF0000X

License✔ Licensed in MI · 4101005340

Definition

A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

Also ListedPsychologistTaxonomy 103T00000X · License 6301005602 (MI)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 4101005340 (MI)

43996 WOODWARD AVE, Bloomfield Hills, MI 48302

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Other Identifiers 8

Other0007336430MI · Aetna

Other181269MA · Compsych

Other028363MI · Val Opt/mcare/bcn

Other0911419MI · Blue Choice/magellan/v.o

Other0913419MI · Bc Messa

Other5266701MI · Aetna

Other7509104190MI · Bcbs

Other130958MI · Care Choices

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carol Keidan Ma Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.