Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720646243 Individual Practitioner Female Practitioner

Katelyn Marie-Fernandez Gardner , TLLP

Psychologist • Troy, MI

Professional Overview & Biography Verified Profile Summary

Katelyn Gardner, TLLP is a registered healthcare professional specializing in Psychologist in Troy, MI. Practice services are available at 1777 AXTELL DR STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1777 Axtell Dr Ste 100

Troy, MI 480844400

Telephone 2486135377
Associated Practice Facility / Clinic
🏢 Somerset Therapy Center Facility NPI 1992971493

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Troy, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
78 Specialists

Practicing in Troy, MI (2669 Statewide)

Telehealth Adoption Rate
6.4% 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: 2020-11-24
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 14478193

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Beth Cherin , MA, LPC, NCC

Counselor - Professional

NPI 1003276916

Master of Arts, Licensed Professional Counselor, National Certified Counselor

Janis Glotkowski , MA, TLLP

Psychologist - Clinical

NPI 1013301332

Master of Arts, TLLP

Neala O'hara , TLLP

Psychologist - Counseling

NPI 1033631122
Allison Mckee , LLMSW

Social Worker - Clinical

NPI 1063074920

Limited Licensed Master Social Worker

Thea Matthews , LLMSW

Counselor - Mental Health

NPI 1104318773

Limited Licensed Master Social Worker

Alan Thain

Psychologist - Counseling

NPI 1124573258

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address November 24, 2020

Registered at 13101 ALLEN RD, SOUTHGATE, MI 481952216 (Tel: 7347857704)

NPI Profile Active May 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2019

Registered at 1777 AXTELL DR STE 100, TROY, MI 480844400 (Tel: 2486135377)

📍
Updated Business Mailing Address May 30, 2019

Registered at 36906 ANN ARBOR TRL, LIVONIA, MI 481503423 (Tel: 7346731930)

👤
Provider Name / Credentials Updated May 30, 2019

Recorded as KATELYN GARDNER, TLLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2019

Psychologist (License #14478193 in MI)

🟢
Initial NPI Registration & Enumeration May 30, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720646243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2019
Last Update: November 24, 2020
Sole Proprietor: Yes

Mailing Address

13101 Allen Rd

Southgate, MI 481952216

Phone: 7347857704

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.