Jo Lashawn Taylor-Clark, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

JC860064 Issued in LA

Practice address

1707 Mary Lou Dr
Baton Rouge, LA 70810-1450

Phone

(225) 877-0829

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1053174623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 MARY LOU DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101450",
            "telephone_number": "225-877-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MARY LOU DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101450",
            "telephone_number": "225-877-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-CLARK",
        "first_name": "JO LASHAWN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "JC860064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sateria Annette Tate
• Trenisha Tate
• Trent Tate
• Vasudev H Tati, M.D.
• Pooja Rajan Tawate
• Abby Taylor
• Alan Lesley Taylor, PH.D.
• Amanda Taylor
• Ashley Danielle Taylor
• Auslyn Taylor

• Psychologist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.