Simone Taylor, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

23552 Issued in CA

Practice address

3075 Adeline St
Suite 120
Berkeley, CA 94703-2576

Phone

(510) 848-1112

Fax

(510) 848-4445

NPI assigned

Jul 30, 2007

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Through the Looking Glass

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1528267028
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1093905556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ADELINE ST",
            "address_2": "SUITE 120",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032576",
            "telephone_number": "510-848-1112",
            "fax_number": "510-848-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 ADELINE ST",
            "address_2": "SUITE 120",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032576",
            "telephone_number": "510-848-1112",
            "fax_number": "510-848-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SIMONE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "23552",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "RPS2005234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "01CR",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahkam Tavallaee, M.D., M.P.H.
• Briauna J Taylor, AGNP-C
• Darius L Taylor, MSW
• Oliver Taylor
• Rashida Calynn Taylor
• Stacy Robin Taylor, LCSW MSW
• Tracey L Taylor, D.O.
• Joni K Teague, L.C.S.W.
• Yamvo Teague, RAS INTERN
• Josie A Tebben, MD

• Clinical Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.