Active NPI
Kristen Anne Taylor, M.A., PSY.D.
- Clinical Psychologist
- Des Plaines, IL
National Provider Identifier
1205159555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.007840
- Practice address
- 380 E Northwest Hwy
Suite 340
Des Plaines, IL 60016-2290 - Phone
- (312) 753-9465
- NPI assigned
- Mar 1, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.007840 | IL | Primary |
Addresses
Primary practice location
380 E Northwest Hwy
Suite 340
Des Plaines, IL 60016-2290
Mailing address
1300 W Belmont Ave
Suite 214
Chicago, IL 60657-3200
Phone (312) 753-9465
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007840 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1205159555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W BELMONT AVE",
"address_2": "SUITE 214",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573200",
"telephone_number": "312-753-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E NORTHWEST HWY",
"address_2": "SUITE 340",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162290",
"telephone_number": "312-753-9465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KRISTEN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.A., PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.007840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.