Active NPI
Taylor R Severance
- Psychologist
- Byron Center, MI
National Provider Identifier
1548059397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6351004981
- Practice address
- 6500 Byron Center Ave SW
Byron Center, MI 49315-9080 - Phone
- (616) 281-6311
- NPI assigned
- May 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6351004981 | MI | Primary |
Addresses
Primary practice location
6500 Byron Center Ave SW
Byron Center, MI 49315-9080
Mailing address
300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
Other practice location 1
6505 Cherry Meadow Dr SE
Caledonia, MI 49316-9484
Phone (616) 891-8770
Other practice location 2
300 68th St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PinerestCMHS@directaddress.pinerest.org |
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 |
|---|---|---|---|
| 6352001091 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1548059397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 68TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495486927",
"telephone_number": "616-455-5000",
"fax_number": "616-281-6459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 BYRON CENTER AVE SW",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493159080",
"telephone_number": "616-281-6311"
}
],
"practiceLocations": [
{
"address_1": "6505 Cherry Meadow Dr SE",
"address_purpose": "LOCATION",
"city": "Caledonia",
"state": "MI",
"postal_code": "493169484",
"country_code": "US",
"telephone_number": "616-891-8770",
"fax_number": "616-891-3504",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 68th St SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495486927",
"country_code": "US",
"telephone_number": "616-455-5000",
"fax_number": "616-281-6459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVERANCE",
"first_name": "TAYLOR",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-06",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6351004981",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "PinerestCMHS@directaddress.pinerest.org",
"affiliation": "N",
"address_1": "300 68th St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495486927",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Byron Center, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.