Suzanne Lee Taylor, PH.D.
Individual provider Active NPI Psychologist · Camano Island, WA
NPI 1013046598 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1013046598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1175 (WA)
- Practice address
- 1977 Cascade View Dr
Camano Island, WA 98282-8437 - Phone
- (425) 418-1680
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1977 Cascade View Dr
Camano Island, WA 98282-8437
Phone (425) 397-9003
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130404000539 | WA | Practitioner - Clinical Psychologist | 7517102015 | Practice locations: Camano Island, WA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1175 | WA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1175 | WA | Yes |
Addresses
Primary practice location
1977 Cascade View Dr
Camano Island, WA 98282-8437
Mailing address
1977 Cascade View Dr
Camano Island, WA 98282-8437
Phone (425) 418-1680
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91-2140849 | Other | WA | SERVICE CORPORATION |
Other providers in Camano Island, WA
- Vanessa Evelyn Soderberg
- Elissa Marie Sorenson
- Marilyn N Sueirro
- Melissa L Sullivan
- Suzanne L. Taylor, PH.D., P.S.
- Kiramie Edelle Terpening
- Linda K. Thompson
- Randall A Thompson
- Trey Timothy Tiffany I
- Erin Kathleen Vanry
All providers in Camano Island, WA · Psychologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.