Organization · Type 2 NPI
M Taveras Psyd & Company Psychological Services
Adult Mental Health Clinic/Center · St. Johns, FL
NPI number
1093574592
Active
Practice location
1629 Race Track Rd Ste 102
St. Johns, FL 32259-6299
Fax (904) 675-0987
Mailing address
13241 Bartram Park Blvd Unit 805
Jacksonville, FL 32258-5216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2 other providers at this address
Other adult mental health clinic/center providers in St. Johns
About NPI 1093574592
M Taveras Psyd & Company Psychological Services's National Provider Identifier is 1093574592, issued on Mar 18, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in St. Johns, FL. The record was last updated on Mar 20, 2025.