Individual provider Active NPI

Virginia Dalton Taylor, PHD

  • Clinical Psychologist
  • Cheshire, CT
National Provider Identifier
1053478693
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 20270 Issued in CA
Practice address
1095 S Main St
Cheshire, CT 06410-3432
Phone
(203) 271-3809
Fax
(203) 272-6968
NPI assigned
Jan 2, 2007
Last updated
Jul 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 20270 CA Primary

Addresses

Primary practice location

1095 S Main St
Cheshire, CT 06410-3432

Mailing address

1095 S Main St
Cheshire, CT 06410-3432
Phone (203) 271-3809

Other names 1

  • Dr. Ginnie Dalton Taylor Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Sep 10, 2018 through Sep 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 20270CAMDClinical Psychologist
3176CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neuropsychological Services, P.C. Clinical PastSince Feb 23, 1990 Accepting new patients
Farmington Valley Integrative Therapy, LLC Clinical Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1053478693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103432",
            "telephone_number": "203-271-3809",
            "fax_number": "203-272-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103432",
            "telephone_number": "203-271-3809",
            "fax_number": "203-272-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "VIRGINIA",
        "middle_name": "DALTON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 20270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINNIE",
            "last_name": "TAYLOR",
            "middle_name": "DALTON",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.