Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407428675 Individual Practitioner Female Practitioner

Kylayha D Jefferson

Psychologist • Fenton, MI

Professional Overview & Biography Verified Profile Summary

Kylayha Jefferson is a registered healthcare professional specializing in Psychologist in Fenton, MI. Practice services are available at 4036 BENNETT LAKE RD APT SUITE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4036 Bennett Lake Rd Apt Suite

Fenton, MI 484308709

Telephone 8108775919

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fenton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Fenton, MI (2669 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-30
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6362009617

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address May 30, 2025

Registered at 17940 FARMINGTON RD STE 302, LIVONIA, MI 481523159 (Tel: 8108775919)

👤
Provider Name / Credentials Updated May 30, 2025

Recorded as KYLAYHA JEFFERSON

NPI Profile Active July 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2021

Registered at 4036 BENNETT LAKE RD APT SUITE, FENTON, MI 484308709 (Tel: 8108775919)

📍
Updated Business Mailing Address July 15, 2021

Registered at 4036 BENNETT LAKE RD APT SUITE, FENTON, MI 484308709 (Tel: 8108775919)

👤
Provider Name / Credentials Updated July 15, 2021

Recorded as KYLAYHA TIETEMA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2021

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration July 15, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407428675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2021
Last Update: May 30, 2025
Sole Proprietor: No

Mailing Address

17940 Farmington Rd Ste 302

Livonia, MI 481523159

Phone: 8108775919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.