NPIMap

Individual provider Active NPI

Stacy J Taylor, M.D.

  • Family Medicine Physician
  • Torrington, CT
National Provider Identifier
1104837483
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040104 Issued in CT
Practice address
333 Kennedy Dr
Suite L-201
Torrington, CT 06790-3060
Phone
(860) 482-0261
Fax
(860) 482-6301
NPI assigned
Aug 11, 2006
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 040104 CT Primary

Addresses

Primary practice location

333 Kennedy Dr
Suite L-201
Torrington, CT 06790-3060

Mailing address

893 Main St Ste 101
East Hartford, CT 06108-2293
Phone (860) 528-2138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108001001 CT Practitioner - Family Practice 6305031014 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLean FundGroup PAC ID 0648247403, 105 clinicians
Asylum Hill Family Medicine Center, Inc.Group PAC ID 9032016134, 24 clinicians

Practice addresses (Care Compare)

11 S Rd
Farmington, CT 06032-2483
Phone (860) 522-2251

75 Great Pond Rd
Simsbury, CT 06070-1980

893 Main St
Suite 101
East Hartford, CT 06108-2293
Phone (860) 528-2138

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040104CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 25, 2022 Accepting new patients
Hartford Healthcare Medical Group, Inc Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Asylum Hill Family Medicine Center Inc Family Medicine CurrentSince Feb 7, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 25, 2022 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince May 4, 2002 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince May 4, 2002 Accepting new patients
Prohealth Physicians PC Family Medicine Past Accepting new patients

Locations

11 South Rd
Farmington, CT 06032
Phone 571568900365171

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

893 Main St
Ste 101
Hartford, CT 06108
Phone (860) 528-2128

99 Woodland St
Hartford, CT 06105
Phone (860) 714-4212

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: staylor2389404@direct.trinity-health.org

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1104837483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 MAIN ST STE 101",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082293",
            "telephone_number": "860-528-2138",
            "fax_number": "860-528-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 KENNEDY DR",
            "address_2": "SUITE L-201",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903060",
            "telephone_number": "860-482-0261",
            "fax_number": "860-482-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STACY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "040104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.