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HANNAH KINGKITTISACK LBA, TLLP
NPI 1669961363
Psychologist - Clinical Child & Adolescent in Detroit, MI

Active since May 08, 2018
16500 TIREMAN ST, DETROIT, MI 48228(313) 451-1390 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, May 8, 2018 (2 updates tracked since 2018).

About Hannah Kingkittisack Lba, Tllp NPPES

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

HANNAH KINGKITTISACK LBA, TLLP (NPI 1669961363) is an individual clinical child & adolescent provider in Detroit, Michigan, licensed in Michigan (6362010066) and active in the NPI registry since May 2018. She maintains a secondary practice location in Brighton.

NPPES Registry Identity

NPI1669961363
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameHANNAH KINGKITTISACKCredential: LBA, TLLP
Location Address16500 TIREMAN STDetroit, MI 48228-3629
Mailing Address2675 Fini DrMilford, MI 48380-3960 · (810) 599-0396
Phone(313) 451-1390
Sole ProprietorNo
Enumeration DateMay 8, 2018
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1669961363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MI · 6362010066
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedBehavior TechnicianTaxonomy 106S00000X
16500 TIREMAN ST, Detroit, MI 48228
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Other Names 1

Former Name (1)Hannah Riesser

Secondary Practice Location 1

Location 110031 Spencer RdBrighton, MI 48114-3806 · Phone (810) 229-4334

Other Providers at the Same Location NPPES

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

ELIZABETH JANE FARREN
Student in an Organized Health Care Education/Training Program
16500 TIREMAN ST
DETROIT, MI 48228
Wayne County (313) 523-4540

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 Hannah Kingkittisack's NPI number?

The NPI number for Hannah Kingkittisack is 1669961363. It was assigned to this individual provider in the NPPES registry on May 8, 2018. The provider is also known as Hannah Riesser.

Where is Hannah Kingkittisack located?

Hannah Kingkittisack practices at 16500 Tireman St, Detroit, MI 48228. The listed phone number is (313) 451-1390.

What is Hannah Kingkittisack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Hannah Kingkittisack was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.