1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Nurse Practitioner
  6. NPI Profile

MRS. KAYLI JEAN GANDARA PMHNP-BC
NPI 1710532809
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI

Active since August 06, 2019
3210 GLENDALE ST, DETROIT, MI 48238(734) 693-4517 Get Directions Write a Review

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

Record update history: Jan 19, 2026, Aug 6, 2019 (2 updates tracked since 2019).

About Mrs. Kayli Jean Gandara Pmhnp-bc NPPES

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

MRS. KAYLI JEAN GANDARA PMHNP-BC (NPI 1710532809) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (4704376432) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1710532809
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KAYLI JEAN GANDARACredential: PMHNP-BC
Location Address3210 GLENDALE STDetroit, MI 48238-3333
Mailing Address3210 Glendale StDetroit, MI 48238-3333 · (734) 693-4517
Phone(734) 693-4517
Sole ProprietorNo
Enumeration DateAugust 6, 2019
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1710532809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704376432
3210 GLENDALE ST, Detroit, MI 48238
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

DR. LAWRENCE MICHAEL CAMERON LPC
Counselor (Professional)
3210 GLENDALE ST
DETROIT, MI 48238
Wayne County (734) 652-1471

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 Kayli Gandara's NPI number?

The NPI number for Kayli Gandara is 1710532809. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Kayli Gandara located?

Kayli Gandara practices at 3210 Glendale St, Detroit, MI 48238. The listed phone number is (734) 693-4517.

What is Kayli Gandara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kayli Gandara was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.