Active NPI
Dawn O Taylor PHD PC
- Psychologist
- Boulder, CO
National Provider Identifier
1093896607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- DAWN O TAYLOR PHD PC
- Practice address
- 3445 Penrose PL Ste 250
Boulder, CO 80301-1877 - Phone
- (303) 473-4435
- Fax
- (303) 447-6453
- NPI assigned
- Oct 18, 2006
- Last updated
- Mar 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dawn O. Taylor, PHD
- Title
- Owner
- Phone
- (303) 473-4435
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
3445 Penrose PL Ste 250
Boulder, CO 80301-1877
Mailing address
3445 Penrose PL Ste 250
Boulder, CO 80301-1877
Phone (303) 473-4435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07007313 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3445 Penrose Pl
Ste 250
Boulder, CO 80301
Phone (303) 473-4435
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Clinical Psychologist
- Boulder, CO
- NPI 1043395924
-
- Clinical Psychologist
- Boulder, CO
- NPI 1023178761
-
- Marriage & Family Therapist
- Boulder, CO
- NPI 1063436400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1093896607",
"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"
},
{
"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",
"fax_number": "303-447-6453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAWN O TAYLOR PHD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-473-4435",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07007313",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.