Individual provider Active NPI

Taymaz Joneydian, MD

  • Psychiatry Physician
  • Livonia, MI
National Provider Identifier
1275158586
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301511186 Issued in MI
Practice address
19000 St Joe'S Parkway
Ste 310
Livonia, MI 48152
Phone
(734) 743-4540
Fax
(734) 743-4541
NPI assigned
Jun 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301511186 MI Primary

Addresses

Primary practice location

19000 St Joe'S Parkway
Ste 310
Livonia, MI 48152

Mailing address

24 Frank Lloyd Wright Drive
Ste J2000
Ann Arbor, MI 48105
Phone (734) 747-6766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114004311 MI Practitioner - Psychiatry 2264859008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Olma Specialty 1 LLCGroup PAC ID 6901206689, 67 clinicians

Practice addresses (Care Compare)

19000 St Joes Pkwy
Livonia, MI 48152-1477

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2692

Hospital & facility affiliations

  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301511186MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Service Corporation CurrentSince Apr 1, 2025 Accepting new patients
Iha Health Services Corporation Psychiatry CurrentSince Apr 1, 2025 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Aug 25, 2024 Accepting new patients
Iha Olma Specialty 1 LLC CurrentSince Apr 1, 2025 Accepting new patients
State of Michigan Office of Financial Management Current Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Olma Specialty 1 LLC Psychiatry CurrentSince Apr 1, 2025 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Aug 25, 2024 Accepting new patients
Iha Olma Specialty 1 LLC Current Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

19000 St Joes Pkwy
Ste 210
Livonia, MI 48152
Phone (734) 655-8250

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

19000 St Joes Pkwy
Livonia, MI 48152
Phone (734) 655-8250

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

8303 Platt Rd
Saline, MI 48176
Phone (734) 295-4223

Interoperability endpoints

  • Direct secure messaging: tjoneydian4352822@direct.trinity-health.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1275158586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "STE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 ST JOE'S PARKWAY",
            "address_2": "STE 310",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "734-743-4540",
            "fax_number": "734-743-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONEYDIAN",
        "first_name": "TAYMAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2025-05-27",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301511186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.