Carol Keidan, MA LLP
Psychologist, Family in Bloomfield Hills, MI. Individual provider (NPI-1).
NPI number1003852005
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1003852005
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carol Keidan
- Credential
- MA LLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TF0000X | Psychologist, Family | 4101005340 | MI | Yes |
| 103T00000X | Psychologist | 6301005602 | MI | |
| 106H00000X | Marriage & Family Therapist | 4101005340 | MI |
Practice location
43996 Woodward AveBloomfield Hills, MI 48302-5028
Phone 248-338-2988
Mailing address
1800 W Lincoln StBirmingham, MI 48009-1834
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.