Mary Catherine Taylor Siebel, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY7821 Issued in CA

Practice address

1500 Southgate Ave
Suite 301
Daly City, CA 94015-2259

Phone

(415) 455-9572

Fax

(650) 755-0410

NPI assigned

Dec 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

Other names 1

• Mary Catherine Taylor Former name

Medicare fee-for-service enrollment

Enrolled in CA

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, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1083779508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "ROSS",
            "state": "CA",
            "postal_code": "949570036",
            "telephone_number": "415-455-9572",
            "fax_number": "650-755-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE",
            "address_2": "SUITE 301",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152259",
            "telephone_number": "415-455-9572",
            "fax_number": "650-755-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR SIEBEL",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY",
            "identifier": "PSY7821",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "TAYLOR",
            "middle_name": "CATHERINE",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Tang, D.O., M.P.H.
• Titus Tang, D.D.S.
• Jennah Tarabeih
• Michael Tarongoy, D.C., Q.M.E., I.D.E.
• Tricia Michels Tayama, MD
• Desree Ivy Taylor
• TC Orthodontics
• Jordan Lue Tejeda
• Briana Tejuco
• Hamir Tembulkar

• Clinical Psychologist in Daly City, CA
• Providers in Daly City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.