| M Taveras Psyd & Company Psychological Services | |
|
1629 Race Track Rd Ste 102 Saint Johns FL 32259-6299 | |
| (904) 204-2433 | |
| (904) 675-0987 |
| Full Name | M Taveras Psyd & Company Psychological Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1629 Race Track Rd Ste 102, Saint Johns, Florida |
| Authorized Official Name and Position | Michelle Christy Taveras (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3472512090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Taveras Psyd & Company Psychological Services 13241 Bartram Park Blvd Unit 805 Jacksonville FL 32258-5216 Ph: (904) 373-8427 | M Taveras Psyd & Company Psychological Services 1629 Race Track Rd Ste 102 Saint Johns FL 32259-6299 Ph: (904) 204-2433 |
| NPI Number | 1093574592 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Medicare PECOS PAC ID | 3870933104 |
|---|---|
| Medicare Enrollment ID | O20240502003139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093574592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Taveras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972886323 PECOS PAC ID: 9234374380 Enrollment ID: I20141105000110 |
Orange Branch Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Elk Grove Ln, Saint Johns, FL 32259 Phone: 904-701-2112 | |
Cep America - Neurology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Trinity Way, Saint Johns, FL 32259 Phone: 904-450-8120 | |
Resurgence Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Bartram Parke Dr, Saint Johns, FL 32259 Phone: 904-504-4566 | |
Peggy Bailey Lmhc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 774 State Road 13, Ste 7, Saint Johns, FL 32259 Phone: 904-287-0820 Fax: 904-287-4141 | |
Melissa Whitlow Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 329 W Adelaide Dr, Saint Johns, FL 32259 Phone: 904-307-6373 | |
Jacksonville Center For Sexual Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1637 Race Track Rd, Suite 225, Saint Johns, FL 32259 Phone: 904-383-7613 |