Shelley Ann Taylor, MA, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361003484 Issued in MI

Practice address

248 Wooded Valley Dr
Traverse City, MI 49696-8731

Phone

(248) 672-9275

NPI assigned

Oct 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shelley Ann Striewski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Shelley a Taylor

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1134625759
  NPD Authorized official

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1902159759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 WOODED VALLEY DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968731",
            "telephone_number": "248-672-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 WOODED VALLEY DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968731",
            "telephone_number": "248-672-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHELLEY",
        "middle_name": "ANN",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361003484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "STRIEWSKI",
            "middle_name": "ANN",
            "credential": "MA, LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leah Ann Tatasciore, RN PHCNS-BC CBIS
• Tawfiq Alkilani DDS PLLC
• Anne P Taylor, M.D.
• Jeremy Taylor, ATC
• Nathan A Taylor
• John Gabriel Tazzi, PA
• TC Chiropractic PC
• TC Mental Health, LLC
• TC Personal Care, LLC
• Tristan Teems

• Clinical Psychologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.