Individual provider Active NPI

Rosemary Taylor, PH.D.

  • Clinical Psychologist
  • St Charles, IL
National Provider Identifier
1194839233
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006723 Issued in IL
Practice address
2075 Foxfield Rd Ste 202
St Charles, IL 60174-1402
Phone
(630) 377-3535
Fax
(630) 377-6703
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071006723 IL Primary

Addresses

Primary practice location

2075 Foxfield Rd Ste 202
St Charles, IL 60174-1402

Mailing address

2075 Foxfield Rd Ste 202
St Charles, IL 60174-1402
Phone (630) 377-3535

Other identifiers 1

IdentifierTypeStateIssuer
0032242397; 00454054OtherILBC/BS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20120109000957 IL Practitioner - Clinical Psychologist 1557537750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Mississippi School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Goodman PHD Psychologist LTDGroup PAC ID 7416909056, 13 clinicians

Practice addresses (Care Compare)

2075 Foxfield Rd
Suite 202
St Charles, IL 60174-1402
Phone (630) 377-3535

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1194839233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 FOXFIELD RD STE 202",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741402",
            "telephone_number": "630-377-3535",
            "fax_number": "630-377-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 FOXFIELD RD STE 202",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741402",
            "telephone_number": "630-377-3535",
            "fax_number": "630-377-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "0032242397; 00454054",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.