Individual provider Active NPI

Myessia Eunisse Simone Taylor, B.A., M.A., DLLP

  • Psychologist
  • Lincoln Park, MI
National Provider Identifier
1831571884
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Professional Counseling Associates Inc. PastSince Jan 31, 2011 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.

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.

Verify at the official NPI Registry.