Active NPI
Allyson Marie Taylor, MA, LPA
- Psychologist
- Tillamook, OR
National Provider Identifier
1174166417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5063
- Practice address
- 2507 Main Ave N Ste B
Tillamook, OR 97141-9297 - Phone
- (503) 664-7300
- Fax
- (503) 664-7600
- NPI assigned
- Oct 18, 2019
- Last updated
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5063 | OR | Primary |
Addresses
Primary practice location
2507 Main Ave N Ste B
Tillamook, OR 97141-9297
Mailing address
17450 Old Pacific Hwy Unit 12
Rockaway Beach, OR 97136-9818
Phone (731) 614-8011
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5063 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1174166417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17450 OLD PACIFIC HWY UNIT 12",
"city": "ROCKAWAY BEACH",
"state": "OR",
"postal_code": "971369818",
"telephone_number": "731-614-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 MAIN AVE N STE B",
"city": "TILLAMOOK",
"state": "OR",
"postal_code": "971419297",
"telephone_number": "503-664-7300",
"fax_number": "503-664-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ALLYSON",
"middle_name": "MARIE",
"credential": "MA, LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "5063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tillamook, OR
- Patrick John Sullivan, PHARMD
- Connie Louise Sutton, LPC
- Alysa Swede, MA
- Megan Leigh Swenson, MSN, RN
- Teresa W Syversen, CADC I
- Ashley Lisa Thiessen, NP, DNP
- Thompson Mainstay LLC (Green Tree Dental)
- Tiffani a. Long DDS (Farmington Dental Center)
- Tillamook Chiropractic Incorporated (Tillamook Chiropractic Clinic)
- Tillamook County Public Health (Tillamook County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.