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LIDDERDALE CONSULTING PLC
NPI 1568080687
Psychologist - Clinical in Grand Rapids, MI

Active since July 07, 2020
1345 MONROE AVE NW STE 252, GRAND RAPIDS, MI 49505(616) 426-9193 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2025, Mar 8, 2025, Feb 1, 2021 and 3 more (6 updates tracked since 2020).

About Lidderdale Consulting Plc NPPES

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

LIDDERDALE CONSULTING PLC (NPI 1568080687), doing business as Melissa A. Lidderdale Plc, is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Grand Rapids and lists Melissa Ann Lidderdale, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1568080687
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIDDERDALE CONSULTING PLC
Location Address1345 MONROE AVE NW STE 252Grand Rapids, MI 49505-4612
Mailing Address57 Courtland St Unit 794Rockford, MI 49341-5027
Phone(616) 426-9193
Organization SubpartNo
Authorized OfficialMelissa Ann LidderdalePsychologist/owner · (616) 426-9193
Enumeration DateJuly 7, 2020
Last NPPES UpdateDecember 2, 20256 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1568080687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
1345 MONROE AVE NW STE 252, Grand Rapids, MI 49505
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Other Names 1

Former Legal Business NameMelissa A. Lidderdale Plc

Secondary Practice Location 1

Location 11430 Michigan St NE Ste 7Grand Rapids, MI 49503-2035 · Phone (616) 426-9193

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lidderdale Consulting Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lidderdale Consulting Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melissa Lidderdale, PHD
Clinical Psychologist
NPI 1225158306
1345 MONROE AVE NW STE 252
Grand Rapids, MI 49505
(616) 426-9193
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lidderdale Consulting Plc's NPI number?

The NPI number for Lidderdale Consulting Plc is 1568080687. It was assigned to this organization in the NPPES registry on July 7, 2020. The provider was formerly known as Melissa A. Lidderdale PLC.

Where is Lidderdale Consulting Plc located?

Lidderdale Consulting Plc is located at 1345 Monroe Ave NW Ste 252, Grand Rapids, MI 49505. The listed phone number is (616) 426-9193.

What is Lidderdale Consulting Plc's specialty?

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

Is Lidderdale Consulting Plc enrolled in Medicare?

Yes. Lidderdale Consulting Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lidderdale Consulting Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Lidderdale Consulting Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lidderdale Consulting Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lidderdale Consulting Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lidderdale Consulting Plc was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.