JESSICA ANNE FAGAN TLLP
NPI 1154955656
Psychologist in Taylor, MI

Active since February 24, 2020
20300 SUPERIOR RD STE 250, TAYLOR, MI 48180(734) 785-7700 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2025, Sep 5, 2024, Feb 24, 2020 (3 updates tracked since 2020).

About Jessica Anne Fagan Tllp NPPES

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

JESSICA ANNE FAGAN TLLP (NPI 1154955656) is an individual psychologist in Taylor, Michigan, licensed in Michigan (6362010152) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1154955656
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJESSICA ANNE FAGANCredential: TLLP
Location Address20300 SUPERIOR RD STE 250Taylor, MI 48180-6342
Mailing Address20300 Superior Rd Ste 200Taylor, MI 48180-6303 · (734) 785-7700
Sole ProprietorNo
Enumeration DateFebruary 24, 2020
Last NPPES UpdateJune 3, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
NPI 1154955656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6362010152
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
20300 SUPERIOR RD STE 250, Taylor, MI 48180

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
20300 SUPERIOR RD STE 250
TAYLOR, MI 48180
Counselor (Addiction (Substance Use Disorder))
20300 SUPERIOR RD STE 250
TAYLOR, MI 48180
Case Manager/Care Coordinator
20300 SUPERIOR RD STE 250
TAYLOR, MI 48180
Case Manager/Care Coordinator
20300 SUPERIOR RD STE 250
TAYLOR, MI 48180
Case Manager/Care Coordinator
20300 SUPERIOR RD STE 250
TAYLOR, MI 48180
Case Manager/Care Coordinator
20300 SUPERIOR RD STE 250
TAYLOR, MI 48180
Social Worker (Clinical)
20300 SUPERIOR RD STE 250
TAYLOR, MI 48180
Psychologist
20300 SUPERIOR RD STE 250
TAYLOR, MI 48180

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 Jessica Fagan's NPI number?

The NPI number for Jessica Fagan is 1154955656. It was assigned to this individual provider in the NPPES registry on February 24, 2020.

Where is Jessica Fagan located?

Jessica Fagan practices at 20300 Superior Rd Ste 250, Taylor, MI 48180. The listed phone number is (734) 785-7700.

What is Jessica Fagan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jessica Fagan was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.