Individual provider Active NPI

Latoya Taylor, PHD, LP

  • Clinical Psychologist
  • Southfield, MI
National Provider Identifier
1154830503
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301019928 Issued in MI
Practice address
27030 Belmont LN
Southfield, MI 48076-3115
Phone
(248) 897-0795
NPI assigned
Sep 28, 2017
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301019928 MI Primary

Addresses

Primary practice location

27030 Belmont LN
Southfield, MI 48076-3115

Mailing address

29532 Southfield Rd Ste 115
Southfield, MI 48076-2023
Phone (248) 897-0795

Other practice location 1

29532 Southfield Rd Ste 115
Southfield, MI 48076-2023
Phone (248) 897-0795

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301019928MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tailored Clinical Services P.L.L.C. Clinical CurrentSince May 7, 2023 Accepting new patients

Locations

29532 Southfield Rd
Ste 115
Southfield, MI 48076
Phone (248) 761-7465

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1154830503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29532 SOUTHFIELD RD STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762023",
            "telephone_number": "248-897-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27030 BELMONT LN",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763115",
            "telephone_number": "248-897-0795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29532 Southfield Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762023",
            "country_code": "US",
            "telephone_number": "248-897-0795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LATOYA",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019928",
            "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 Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.