Organization Active NPI

Lily Psychological Consultation Inc.

  • Clinical Psychologist
  • San Pedro, CA
National Provider Identifier
1013658368
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LILY PSYCHOLOGICAL CONSULTATION INC.
Practice address
2183 W Paseo del Mar
San Pedro, CA 90732-4556
Phone
(415) 273-9233
NPI assigned
Apr 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Dr. Katherine Taylor, PSYD
Title
Principal
Phone
(415) 273-9233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2183 W Paseo del Mar
San Pedro, CA 90732-4556

Mailing address

454 Las Gallinas Ave # 1096
San Rafael, CA 94903-3618
Phone (415) 273-9233

Other names 1

  • Katherine Taylor PsyD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1013658368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 LAS GALLINAS AVE # 1096",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033618",
            "telephone_number": "415-273-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 W PASEO DEL MAR",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324556",
            "telephone_number": "415-273-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY PSYCHOLOGICAL CONSULTATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "415-273-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katherine Taylor PsyD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.