Amie Lou Taylor, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301002278 Issued in MI

Practice address

3456 Pierson PL
Flushing, MI 48433-2474

Phone

(810) 720-5258

Fax

(810) 720-5259

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Deborah Dewey Walker Family Services PLLC

  • Social Worker
  • Flushing, MI
  • NPI 1508557919
  NPD (past)
• Recco S Richardson Consulting Inc

  • Professional Counselor
  • Flushing, MI
  • NPI 1114549813
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1609934579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 PIERSON PL",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332474",
            "telephone_number": "810-720-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 PIERSON PL",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332474",
            "telephone_number": "810-720-5258",
            "fax_number": "810-720-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMIE",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "680B545470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swartz Creek After Hours Clinic
• Catherine Swearengen
• Tiffany Sykes
• Naga Prasanna Talanki, RPH
• Katie Beth Taljonick
• Jessica Taylor
• Manika Taylor
• Chelsee Tebedo
• Brett A Teran, DDS
• The Memorial Hospital

• All providers in Flushing, MI
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.