Active NPI
Myessia Eunisse Simone Taylor, B.A., M.A., DLLP
- Psychologist
- Lincoln Park, MI
National Provider Identifier
1831571884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 26300 Outer Dr
Lincoln Park, MI 48146-2019 - Phone
- (734) 785-7700
- NPI assigned
- Jun 26, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
26300 Outer Dr
Lincoln Park, MI 48146-2019
Mailing address
3030 Cinnamon Glen Dr
Houston, TX 77073-6102
Phone (501) 541-3946
Other practice location 1
2875 Troy Center Dr Apt P-29
Troy, MI 48084-4758
Phone (501) 541-3946
Other practice location 2
4354 Stockton Dr
North Little Rock, AR 72117-2917
Phone (501) 955-7600
Other practice location 3
3030 Cinnamon Glen Dr
Houston, TX 77073-6102
Phone (501) 541-3946
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
- Bachelor of Arts, Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Counseling Associates Inc. | 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.
-
- Community/Behavioral Health Agency
- North Little Rock, AR
- NPI 1437164977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1831571884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 CINNAMON GLEN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770736102",
"telephone_number": "501-541-3946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26300 OUTER DR",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462019",
"telephone_number": "734-785-7700"
}
],
"practiceLocations": [
{
"address_1": "2875 Troy Center Dr Apt P-29",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480844758",
"country_code": "US",
"telephone_number": "501-541-3946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4354 Stockton Dr",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721172917",
"country_code": "US",
"telephone_number": "501-955-7600",
"fax_number": "501-955-7612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3030 Cinnamon Glen Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770736102",
"country_code": "US",
"telephone_number": "501-541-3946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "MYESSIA",
"middle_name": "EUNISSE SIMONE",
"credential": "B.A., M.A., DLLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.