Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

M Taveras PSYD & Company Psychological Services

Organization Clinical Psychologist · NPI 1093574592

M Taveras PSYD & Company Psychological Services is a Clinical Psychologist in Saint Johns, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1629 Race Track Rd Ste 102
Saint Johns, FL 32259-6299
Phone: (904) 204-2433
Fax: (904) 675-0987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1093574592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Taveras — Owner/Clinical Psychologist · (347) 251-2090
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address13241 Bartram Park Blvd Unit 805, Jacksonville, FL 32258-5216

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