Michelle Christy Taveras, MSW, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8925 Issued in FL

Practice address

1629 Race Track Rd Ste 102
Saint Johns, FL 32259-6299

Phone

(904) 204-2433

Fax

(904) 675-0987

NPI assigned

Sep 22, 2011

Sex

Female

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

M Taveras, PSYD and Company Psychological ServicesGroup PAC ID 3870933104, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.95 of 100Reported as group

Quality

84.69

Promoting interoperability

100

Improvement activities

40

Cost

74.91

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• M Taveras PSYD & Company Psychological Services

  • Adult Mental Health Clinic/Center
  • Saint Johns, FL
  • NPI 1093574592

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Southern Baptist Hospital of Florida Inc

  dba Baptist Home Health Care

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1841351632
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1972886323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 805",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585216",
            "telephone_number": "904-373-8427",
            "fax_number": "904-675-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 RACE TRACK RD STE 102",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322596299",
            "telephone_number": "904-204-2433",
            "fax_number": "904-675-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "MICHELLE",
        "middle_name": "CHRISTY",
        "credential": "MSW, PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Grace Sullivan, DMD
• Summit Retirement Lifestyles C (The Legacy @ St. Johns)
• T.C.I. Therapy, LLC
• Hailey Marie Taber
• Ryan Tantay
• Elana D Taylor, PHARMD
• Kaitlyn Taylor
• Therapedz Therapist Unlimited, LLC
• Therapy Direct, LLC
• Ashley Frances Thibedeau

• Clinical Psychologist in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.