Active NPI
Sally Taylor, MD
- Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1104833474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H0879
- Practice address
- 2425 Babcock Rd Ste 111
San Antonio, TX 78229-4899 - Phone
- (210) 358-3108
- Fax
- (210) 702-4750
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H0879 | TX | Primary |
Addresses
Primary practice location
2425 Babcock Rd Ste 111
San Antonio, TX 78229-4899
Mailing address
PO Box 734812
Dallas, TX 75373-4812
Phone (210) 358-9500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | staylor48602@uhssa.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0879 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Specialists | Current | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Past | Accepting new patients |
Locations
2425 Babcock Rd
Ste 111
San Antonio, TX 78229
Phone (210) 358-3108
Interoperability endpoints
- staylor48602@uhssa.direct-ci.com
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1922617125
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1104833474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734812",
"city": "DALLAS",
"state": "TX",
"postal_code": "753734812",
"telephone_number": "210-358-9500",
"fax_number": "210-358-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 BABCOCK RD STE 111",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294899",
"telephone_number": "210-358-3108",
"fax_number": "210-702-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SALLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H0879",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "staylor48602@uhssa.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2425 Babcock Rd Ste 111",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782294899",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.