IndividualActive
Michael Taylor
NPI 1154946804 · Student in an Organized Health Care Education/Training Program · Fairfield, CA
Provider details
- NPI number
- 1154946804
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2101 Courage Dr
Fairfield, CA 94533-6717
Phone: (707) 784-2080
Street-level locationGet directions
Mailing address
1235 Cornell Ct
Dixon, CA 95620-4892
Additional practice locations (1)
- 1411 Ridgewood DrMartinez, CA 94553-4221Phone: (925) 446-5382
Registry dates
- Enumerated
- 2020-06-09
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.