Katelyn Marie-Fernandez Gardner, TLLP
NPI 1720646243ActiveIndividual· Psychologist· Troy, MI
Psychologist (TLLP) in Troy, Michigan, licensed in MI, with an NPI issued in May 2019.
Overview
| NPI | 1720646243 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | TLLP |
| Sole proprietor | Yes |
| NPI issued | May 30, 2019 |
| Last updated in NPPES | Nov 24, 2020 |
| Certified by provider | Nov 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 14478193 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist providers in Troy
- 1477924611
- 1770596587
- 1699512509
- 1538754437
- 1073158606
- 1326954082
- 1528377264
- 1518774249
- 1134990112
- 1124804497
- 1811801491
- 1013484591