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M TAVERAS PSYD & COMPANY PSYCHOLOGICAL SERVICES
NPI 1093574592
Clinic/Center - Adult Mental Health in Saint Johns, FL

Active since March 18, 2024
1629 RACE TRACK RD STE 102, SAINT JOHNS, FL 32259(904) 204-2433(904) 675-0987 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2025, Jul 24, 2024, Apr 26, 2024 and 1 more (4 updates tracked since 2024).

About M Taveras Psyd & Company Psychological Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M TAVERAS PSYD & COMPANY PSYCHOLOGICAL SERVICES (NPI 1093574592) is a healthcare organization registered as an adult mental health in Saint Johns, Florida and active in the NPI registry since March 2024. The organization lists Michelle Christy Taveras, Owner/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1093574592
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameM TAVERAS PSYD & COMPANY PSYCHOLOGICAL SERVICES
Location Address1629 RACE TRACK RD STE 102Saint Johns, FL 32259-6299
Mailing Address13241 Bartram Park Blvd Unit 805Jacksonville, FL 32258-5216 · (904) 373-8427
Phone(904) 204-2433
Fax(904) 675-0987
Organization SubpartNo
Authorized OfficialMichelle Christy TaverasOwner/clinical Psychologist · (347) 251-2090
Enumeration DateMarch 18, 2024
Last NPPES UpdateMarch 20, 20254 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1093574592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
1629 RACE TRACK RD STE 102, Saint Johns, FL 32259
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M Taveras Psyd & Company Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to M Taveras Psyd & Company Psychological Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Michelle Taveras, MSW, PSY.D.
Clinical Psychologist
NPI 1972886323
1629 RACE TRACK RD STE 102
Saint Johns, FL 32259
(904) 204-2433
✔ PECOS✔ Accepts MedicareSame address
Vicki Glabb, MA, NCC, LPC
Mental Health Counselor
NPI 1548576150
7901 4TH ST N STE 300
St Petersburg, FL 33702
(724) 312-9988
✔ PECOS✔ Accepts Medicare168 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M Taveras Psyd & Company Psychological Services's NPI number?

The NPI number for M Taveras Psyd & Company Psychological Services is 1093574592. It was assigned to this organization in the NPPES registry on March 18, 2024.

Where is M Taveras Psyd & Company Psychological Services located?

M Taveras Psyd & Company Psychological Services is located at 1629 Race Track Rd Ste 102, Saint Johns, FL 32259. The listed phone number is (904) 204-2433.

What is M Taveras Psyd & Company Psychological Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is M Taveras Psyd & Company Psychological Services enrolled in Medicare?

Yes. M Taveras Psyd & Company Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through M Taveras Psyd & Company Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to M Taveras Psyd & Company Psychological Services, in Clinical Psychologist and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does M Taveras Psyd & Company Psychological Services accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list M Taveras Psyd & Company Psychological Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for M Taveras Psyd & Company Psychological Services was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.