NPIMap

Organization Active NPI

Taylor Psychological Services PC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1063856417
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007840 Issued in IL
Legal business name
TAYLOR PSYCHOLOGICAL SERVICES PC
Practice address
1300 W Belmont Ave
Suite 115
Chicago, IL 60657-3200
Phone
(312) 753-9465
Fax
(773) 442-0056
NPI assigned
Apr 28, 2013
Last updated
May 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Dr. Kristen A Taylor, PSY.D.NPI 1205159555
Title
Owner/Lic Clinical Psychologist
Phone
(312) 753-9465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071.007840 IL Primary

Addresses

Primary practice location

1300 W Belmont Ave
Suite 115
Chicago, IL 60657-3200

Mailing address

1300 W Belmont Ave
Suite 115
Chicago, IL 60657-3200
Phone (312) 753-9465

National Provider Directory

National Provider Directory

Locations

1300 W Belmont Ave
Ste 115
Chicago, IL 60657
Phone (312) 753-9465

318 W Adams St
Ste 1531
Chicago, IL 60606

1300 W Belmont Ave
Ste 509
Chicago, IL 60657

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1063856417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE",
            "address_2": "SUITE 115",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "312-753-9465",
            "fax_number": "773-442-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE",
            "address_2": "SUITE 115",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "312-753-9465",
            "fax_number": "773-442-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-28",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/LIC CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-753-9465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.