KYLAYHA D JEFFERSON
NPI 1407428675
Psychologist in Fenton, MI

Active since July 15, 2021
4036 BENNETT LAKE RD APT SUITE, FENTON, MI 48430(810) 877-5919 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2025, Jul 15, 2021 (2 updates tracked since 2021).

About Kylayha D Jefferson NPPES

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

KYLAYHA D JEFFERSON (NPI 1407428675) is an individual psychologist in Fenton, Michigan, licensed in Michigan (6362009617) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1407428675
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKYLAYHA D JEFFERSON
Location Address4036 BENNETT LAKE RD APT SUITEFenton, MI 48430-8709
Mailing Address17940 Farmington Rd Ste 302Livonia, MI 48152-3159 · (810) 877-5919
Sole ProprietorNo
Enumeration DateJuly 15, 2021
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1407428675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6362009617
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4036 BENNETT LAKE RD APT SUITE, Fenton, MI 48430

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 Kylayha Jefferson's NPI number?

The NPI number for Kylayha Jefferson is 1407428675. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Kylayha Jefferson located?

Kylayha Jefferson practices at 4036 Bennett Lake Rd Apt Suite, Fenton, MI 48430. The listed phone number is (810) 877-5919.

What is Kylayha Jefferson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Kylayha Jefferson was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.