MICHELLE CHRISTY TAVERAS (MSW, PSY.D.) – Clinical Psychologist, NPI 1972886323
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,602 CLINICAL PSYCHOLOGIST in FL
Provider Addresses for MICHELLE CHRISTY TAVERAS (MSW, PSY.D.)
PO BOX 44230
JACKSONVILLE, FL 322314230
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Mailing
1660 PRUDENTIAL DR STE 410
JACKSONVILLE, FL 322078197
Phone: (904) 376-3800
Fax: (904) 396-8970
Type: Location
13241 BARTRAM PARK BLVD UNIT 805
JACKSONVILLE, FL 322585216
Phone: (904) 373-8427
Fax: (904) 675-0987
Type: Mailing
1629 RACE TRACK RD STE 102
SAINT JOHNS, FL 322596299
Phone: (904) 204-2433
Fax: (904) 675-0987
Type: Location
PO BOX 748519
ATLANTA, GA 303748519
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Mailing
4844 DEER LAKE DR W STE 101
JACKSONVILLE, FL 322464406
Phone: (904) 376-3800
Fax: (904) 390-7431
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141105000110 | I | Clinical Psychologist | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 213 | 16 | $0 |
Insurance plans in this area (ZIP 32231)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.