KATELYN MARIE-FERNANDEZ GARDNER TLLP
NPI 1720646243
Psychologist in Troy, MI

Active since May 30, 2019
1777 AXTELL DR STE 100, TROY, MI 48084(248) 613-5377 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 24, 2020, May 30, 2019 (2 updates tracked since 2019).

About Katelyn Marie-fernandez Gardner Tllp NPPES

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

KATELYN MARIE-FERNANDEZ GARDNER TLLP (NPI 1720646243) is an individual psychologist in Troy, Michigan, licensed in Michigan (14478193) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1720646243
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATELYN MARIE-FERNANDEZ GARDNERCredential: TLLP
Location Address1777 AXTELL DR STE 100Troy, MI 48084-4400
Mailing Address13101 Allen RdSouthgate, MI 48195-2216 · (734) 785-7704
Sole ProprietorYes
Enumeration DateMay 30, 2019
Last NPPES UpdateNovember 24, 20202 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
NPI 1720646243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 14478193
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.
1777 AXTELL DR STE 100, Troy, MI 48084

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
1777 AXTELL DR STE 100
TROY, MI 48084
Counselor (Professional)
1777 AXTELL DR STE 100
TROY, MI 48084
Psychologist (Counseling)
1777 AXTELL DR STE 100
TROY, MI 48084
Psychologist
1777 AXTELL DR STE 100
TROY, MI 48084
Counselor
1777 AXTELL DR STE 100
TROY, MI 48084
Psychologist (Clinical)
1777 AXTELL DR STE 100
TROY, MI 48084
Counselor (Mental Health)
1777 AXTELL DR STE 100
TROY, MI 48084
Counselor (Mental Health)
1777 AXTELL DR STE 100
TROY, MI 48084

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 Katelyn Gardner's NPI number?

The NPI number for Katelyn Gardner is 1720646243. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Katelyn Gardner located?

Katelyn Gardner practices at 1777 Axtell Dr Ste 100, Troy, MI 48084. The listed phone number is (248) 613-5377.

What is Katelyn Gardner'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 Katelyn Gardner was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.