Dawn O. Taylor, CP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

731 Issued in CO

Practice address

3445 Penrose PL Ste 250
Boulder, CO 80301-1877

Phone

(303) 473-4435

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dawn O Taylor PHD PC

  • Psychologist
  • Boulder, CO
  • NPI 1093896607
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1043395924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 PENROSE PL STE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011877",
            "telephone_number": "303-473-4435",
            "fax_number": "303-447-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PENROSE PL STE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011877",
            "telephone_number": "303-473-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DAWN",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07007313",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Amanda Taylor Russell, M.A.
• Amanda Taylor, LCSW
• Ashley Taylor, MA
• Bethany E Taylor
• Christel Taylor, RPSGT
• Jennifer Taylor, MA
• Lauren M Taylor, M.A.
• Rachel Wells Taylor, LCSW
• Samantha Taylor, LPC
• Sarah Taylor, LCSW

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.