Individual provider Active NPI

Sharonda Taylor, LLP

  • Psychologist
  • Flint, MI
National Provider Identifier
1871743443
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361004814 Issued in MI
Practice address
1057 E Coldwater Rd
Flint, MI 48505-1501
Phone
(810) 223-4560
NPI assigned
Sep 19, 2008
Last updated
Sep 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6301014010 MI
Mental Health Counselor 101YM0800X 6361004814 MI
Psychologist 103T00000X 6361004814 MI Primary
Cognitive & Behavioral Psychologist 103TB0200X 6361004814 MI
Clinical Psychologist 103TC0700X 6361004814 MI

Addresses

Primary practice location

1057 E Coldwater Rd
Flint, MI 48505-1501

Mailing address

5074 Judith Ann Dr
Flint, MI 48504-1224
Phone (810) 223-4560

Other practice location 1

8245 Holly Rd Ste 200
Grand Blanc, MI 48439-2483
Phone (630) 597-1705

Other identifiers 1

IdentifierTypeStateIssuer
6361004814OtherMIMASTERS LIMITED PSYCHOLOGIST LICENSE

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

State licenses

LicenseStateTypeSpecialty
6301014010MIMDMental Health Counselor
6361004814MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Health System Past Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients
Genesee Health System Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1871743443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5074 JUDITH ANN DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041224",
            "telephone_number": "810-223-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 E COLDWATER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485051501",
            "telephone_number": "810-223-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8245 Holly Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484392483",
            "country_code": "US",
            "telephone_number": "630-597-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHARONDA",
        "name_prefix": "Mrs.",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6301014010",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6361004814",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361004814",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6361004814",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361004814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTERS LIMITED PSYCHOLOGIST LICENSE",
            "identifier": "6361004814",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; 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.