Taylor Psychological Clinic P C

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TAYLOR PSYCHOLOGICAL CLINIC P C

Practice address

3405 Westwood Pkwy
Flint, MI 48503-4686

Phone

(810) 232-8466

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9797

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maxwell F Taylor, PH.D.

  • Psychologist
  • Flint, MI
  • NPI 1922182567
  NPD
• Victorean L Cox, MS LLP

  • Psychologist
  • Flint, MI
  • NPI 1679675714

  Clinical

  NPD (past)
• Autumn S Gratz, PA

  • Physician Assistant
  • Flint, MI
  • NPI 1558671263
  NPD (past)
• Laverne McGowan, LMSW

  • Clinical Social Worker
  • Flint, MI
  • NPI 1619000650
  NPD (past)

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698537600000",
    "number": "1972255016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 WESTWOOD PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034686",
            "telephone_number": "810-232-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR PSYCHOLOGICAL CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faithann Aurora Tate
• Mustafa Tattan, DDS, MS
• Geoffrey P. Taub, CRNA
• George Felopatier Tawfellos
• Taylor Psychological Clinic P C
• Janice Elaine Taylor-Conerly, RN CPNP
• Alyssa Taylor
• Amia J Taylor
• Arthur E Taylor II
• Chanelle Laurice Taylor

• Clinical Psychologist in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; 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.