Marc Taylor PHD, Psychologist, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MARC TAYLOR PHD, PSYCHOLOGIST, P.C.

Practice address

1375 NE Yaquina Heights Dr
Newport, OR 97365-9567

Phone

(541) 556-1860

Fax

(541) 343-2751

NPI assigned

Sep 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc E Taylor, PH.D.NPI 1053471201

Title

President

Phone

(541) 556-1860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Edwin Taylor, PHD

  • Psychologist
  • Newport, OR
  • NPI 1053471201
  Medicare reassignment NPD Authorized official
• Suzanne Ruth Gascoyne, PHD

  • Counseling Psychologist
  • Eugene, OR
  • NPI 1104962513

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1013102383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 NE YAQUINA HEIGHTS DR",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973659567",
            "telephone_number": "541-556-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 NE YAQUINA HEIGHTS DR",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973659567",
            "telephone_number": "541-556-1860",
            "fax_number": "541-343-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC TAYLOR PHD, PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-556-1860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Henry Mahlman, M. ED
• Marianne Mahoney, BS, CADCI
• Meredith Ellen Maislen, LCSW
• Barbara June Mantha
• Mona M Manwaring, LCSW
• Bethany Michelle Marks, RN
• Janice Marley Jorgens, PA
• Rose Maros, ARNP
• Keith Marquand
• Jeanette C Marsh, CRM

• Clinical Psychologist in Newport, OR
• Providers in Newport, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.