Roy Mark Taylor, LCSW-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11120 Issued in MD

Practice address

1300 York Rd Ste C300
Lutherville, MD 21093-6028

Phone

(410) 853-7691

Fax

(443) 519-5167

NPI assigned

Nov 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lucid Psychiatric Practice LLCGroup PAC ID 5092087445, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lucid Psychiatric Practice LLC

  dba Centered Counseling Services, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
  • NPI 1235660457
  Medicare reassignment Care Compare group NPD
• Bergand Group

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lutherville, MD
  • NPI 1407113483
  NPD (past)
• Clinical Lab Solutions

  • Clinical Medical Laboratory
  • Lutherville, MD
  • NPI 1629481999
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1164709390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE C300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936028",
            "telephone_number": "410-853-7691",
            "fax_number": "443-519-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE C300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936028",
            "telephone_number": "410-853-7691",
            "fax_number": "443-519-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROY",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "11120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergy Surgical Solutions LLC
• Synergy Surgical Solutions LLC
• Nakul Suhas Talathi, MD
• Talya Knable Psychotherapy
• Tontesh Shivakumar Tawady, D.D.S
• TB Medical
• TB Medical LLC
• TB Medical Services, LLC
• Laura Teasley
• Teens With Trauma

• Mental Health Counselor in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.