Active NPI
Lily Psychological Consultation Inc.
- Clinical Psychologist
- San Pedro, CA
National Provider Identifier
1013658368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- San Francisco, CA
- NPI 1386148864
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.