Individual provider · Type 1 NPI

Michelle Christy Taveras, MSW, PSY.D.

Clinical Psychologist · St. Johns, FL

NPI number 1972886323 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

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY8925 (FL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1972886323

Michelle Christy Taveras, MSW, PSY.D.'s National Provider Identifier is 1972886323, issued on Sep 22, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Johns, FL. The record was last updated on Mar 20, 2025.