Individual provider Active NPI

Latoya Taylor, PHD, LLP

  • Clinical Psychologist
  • Southfield, MI
National Provider Identifier
1154830503
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6351004325 Issued in MI
Practice address
27030 Belmont LN
Southfield, MI 48076-3115
Phone
(248) 897-0795
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301016761 MI
Clinical Psychologist 103TC0700X 6351004325 MI Primary

Addresses

Primary practice location

27030 Belmont LN
Southfield, MI 48076-3115

Mailing address

27030 Belmont LN
Southfield, MI 48076-3115
Phone (248) 897-0795

Other practice location 1

1025 E Forest Ave
Bldg C Room 216
Detroit, MI 48207
Phone (313) 833-2849

Other practice location 2

1025 E Forest Ave Rm 216
Detroit, MI 48207-1024
Phone (313) 833-2849

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
6301016761MIMDClinical Psychologist
6351004325MIMDClinical Psychologist

Practice roles

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

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": "1683072000000",
    "number": "1154830503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27030 BELMONT LN",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763115",
            "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": "1025 E Forest Ave",
            "address_2": "Bldg C Room 216",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48207",
            "country_code": "US",
            "telephone_number": "313-833-2849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 E Forest Ave Rm 216",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482071024",
            "country_code": "US",
            "telephone_number": "313-833-2849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LATOYA",
        "credential": "PHD, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016761",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6351004325",
            "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 May 3, 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.

Verify at the official NPI Registry.