Active NPI
Amanda Taylor, MS, LLP
- Psychologist
- Dexter, MI
National Provider Identifier
1609565266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361001878
- Practice address
- 3249 Broad St Ste 1
Dexter, MI 48130-1018 - Phone
- (734) 834-5409
- NPI assigned
- May 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 6361001878 | MI | Primary |
Addresses
Primary practice location
3249 Broad St Ste 1
Dexter, MI 48130-1018
Mailing address
3249 Broad St # 1
Dexter, MI 48130-1018
Phone (734) 274-9150
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361001878 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Center for Adult Psychotherapy | Past | 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.
-
- Clinical Psychologist
- Dexter, MI
- NPI 1760066310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1609565266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3249 BROAD ST # 1",
"city": "DEXTER",
"state": "MI",
"postal_code": "481301018",
"telephone_number": "734-274-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3249 BROAD ST STE 1",
"city": "DEXTER",
"state": "MI",
"postal_code": "481301018",
"telephone_number": "734-834-5409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "AMANDA",
"credential": "MS, LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361001878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dexter, MI
- Steven Friday Clinical Social Work Services PLLC
- Kathryn Genevieve Suarez
- Sunrise Family Dental Associates
- Allison Virginia Surma, MD
- T Herrlinger & Associates Inc
- The Regents of the University of Michigan
- Alan Thomas, PHARM D
- Suzanne H Thomashow, MD PHD
- Thrive Chiropractic Dexter P.C.
- Rhonda S. Todd, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.