Active NPI
Sharonda Taylor, LLP
- Psychologist
- Flint, MI
National Provider Identifier
1871743443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361004814
- Practice address
- 1057 E Coldwater Rd
Flint, MI 48505-1501 - Phone
- (810) 223-4560
- NPI assigned
- Sep 19, 2008
- Last updated
- Sep 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6361004814 | Other | MI | MASTERS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014010 | MI | MD | Mental Health Counselor |
| 6361004814 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1043554348
-
dba Genesee Community Health Center
- Federally Qualified Health Center (FQHC)
- Flint, MI
- NPI 1962140137
-
dba Great Lakes Psychology Group
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
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.