Rondrell Tayvan Taylor, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1121 E McNichols Rd
Detroit, MI 48203-2857

Phone

(313) 365-3100

Fax

(313) 365-3098

NPI assigned

Nov 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1871036418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032857",
            "telephone_number": "313-365-3100",
            "fax_number": "313-365-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032857",
            "telephone_number": "313-365-3100",
            "fax_number": "313-365-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RONDRELL",
        "middle_name": "TAYVAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ola Mae Taylor
• Ora Taylor
• Rachel Lyn Taylor
• Renaya Taylor
• Robert L Taylor II, CPSS.
• Sarah Elizabeth Taylor, LLMSW
• Sheena Taylor, LLBSW
• Shenetta Taylor
• Skye Taylor
• Stacey Taylor, FNP

• Professional Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.