KELLY D DISTELRATH (LLP) – Clinical Psychologist, NPI 1598976375
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLY D DISTELRATH (LLP)
12220 E 13 Mile Rd
Suite 300
Warren, MI 480935000
Phone: (586) 258-0206
Fax: (586) 258-0201
Type: Location
12220, East 13 Mile Road, Warren, Macomb County, Michigan, 48093, United States
SUITE 300
WARREN, MI 480935000
Phone: (586) 258-0206
Fax: (586) 258-0201
Type: Location
520 SUPERIOR ST
PORT HURON, MI 480603838
Phone: (810) 984-4202
Type: Location
1340, Pinecrest Drive, Ferndale, Oakland County, Michigan, 48220, United States
FERNDALE, MI 482201608
Phone: (586) 258-0206
Fax: (586) 258-0201
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48093)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.