Active NPI
Taylour Lee
- Psychologist
- Southfield, MI
National Provider Identifier
1083248389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 16000 W 9 Mile Rd Ste 315
Southfield, MI 48075-4835 - Phone
- (248) 579-2188
- NPI assigned
- Feb 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361007587 | MI | |
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
16000 W 9 Mile Rd Ste 315
Southfield, MI 48075-4835
Mailing address
35765 N Grandview CT
Farmington Hills, MI 48335-2414
Phone (313) 258-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361007587 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1083248389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35765 N GRANDVIEW CT",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483352414",
"telephone_number": "313-258-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 W 9 MILE RD STE 315",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754835",
"telephone_number": "248-579-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TAYLOUR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361007587",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.