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NANCY RIETDORF PHD PLLC
NPI 1245383736
Psychologist - Clinical in Kimball, MI

Active since January 19, 2007
2837 STABLE DR, SUITE B, KIMBALL, MI 48074(810) 985-8000(810) 985-8044 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nancy Rietdorf Phd Pllc NPPES

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

NANCY RIETDORF PHD PLLC (NPI 1245383736) is a healthcare organization registered as a clinical in Kimball, Michigan and active in the NPI registry since January 2007. The organization lists Nancy A Rietdorf, President, as its authorized official.

NPPES Registry Identity

NPI1245383736
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameNANCY RIETDORF PHD PLLC
Location Address2837 STABLE DR, SUITE BKimball, MI 48074-1441
Mailing Address2837 Stable Dr, Suite BKimball, MI 48074-1441 · (810) 985-8000 · Fax (810) 985-8044
Phone(810) 985-8000
Fax(810) 985-8044
Organization SubpartNo
Authorized OfficialNancy A RietdorfPresident · (810) 985-8000
Enumeration DateJanuary 19, 2007
Last NPPES UpdateNovember 5, 2007
✔ NPI 1245383736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301004023
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2837 STABLE DR, Kimball, MI 48074
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Other Identifiers 2

Medicare UPINS16700MI
Medicare ID-Type Unspecified0P44500MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT J. FERGUSON D.D.S.
Dentist
2837 STABLE DR, STE A
KIMBALL, MI 48074
St. Clair County (810) 985-3301
DR. ELISE CHANTEL SOULLIERE DDS
Dentist (General Practice)
2837 STABLE DR
KIMBALL, MI 48074
St. Clair County (810) 985-3301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Rietdorf Phd PLLC's NPI number?

The NPI number for Nancy Rietdorf Phd PLLC is 1245383736. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Nancy Rietdorf Phd PLLC located?

Nancy Rietdorf Phd PLLC is located at 2837 Stable Dr Suite B, Kimball, MI 48074. The listed phone number is (810) 985-8000.

What is Nancy Rietdorf Phd PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Nancy Rietdorf Phd PLLC was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.