Organization Active NPI

Crossley Wellness Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1609536135
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CROSSLEY WELLNESS CENTER
Practice address
5154 Miller Rd Ste I
Flint, MI 48507-1069
Phone
(810) 447-9736
NPI assigned
Dec 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Taylor Marie CrossleyNPI 1679125363
Title
Psychiatric Nurse Practitioner
Phone
(810) 228-3164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5154 Miller Rd Ste I
Flint, MI 48507-1069

Mailing address

5154 Miller Rd Ste I
Flint, MI 48507-1069
Phone (810) 228-3164

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Beachtm46@icloud.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220622002099 MI Part B Supplier - Clinic/Group Practice 6204215213 Receives reassigned benefits from 3 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

5154 Miller Rd
Ste I
Flint, MI 48507
Phone (810) 228-3164

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1609536135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD STE I",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071069",
            "telephone_number": "810-228-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD STE I",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071069",
            "telephone_number": "810-447-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSLEY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-24",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "CROSSLEY",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "810-228-3164"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Beachtm46@icloud.com",
            "affiliation": "N",
            "address_1": "6054 Beecher Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485322001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.