Taylor Nezich LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

TAYLOR NEZICH LLC

Practice address

5340 Plymouth Rd Ste 210
Ann Arbor, MI 48105-9559

Phone

(734) 415-6400

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Taylor Nezich, LLPNPI 1386134765

Title

Owner

Phone

(734) 415-6400

Specialties & licenses 1

Addresses

Other names 1

• Mindful Moment Psychological Services and Behavioral Health Doing business as

Locations

Practitioners 1

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

• Taylor Nezich

  • Psychologist
  • Brighton, MI
  • NPI 1386134765
  NPD Authorized official

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1780337758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 PLYMOUTH RD STE 210",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059559",
            "telephone_number": "734-415-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 PLYMOUTH RD STE 210",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059559",
            "telephone_number": "734-415-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR NEZICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "NEZICH",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-415-6400",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Moment Psychological Services and Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Taulbee
• Karen Tavolacci, CRNA
• Jessica Barndt Tavormina, PA-C
• Beshoy Tawfik, MD
• Taylor Integrated Therapy PLLC
• Taylor Pahl Therapy LLC
• Alyssa Taylor
• Angelica Taylor
• Arlene Carol Taylor, APRN BC
• Brice Taylor, MD

• All providers in Ann Arbor, MI
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.