Active NPI
Nancy J Taylor, PHD
- Psychologist
- Tustin, CA
National Provider Identifier
1235220674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY16552
- Practice address
- 242 West Main Street
Suite 104
Tustin, CA 92780 - Phone
- (714) 508-7335
- Fax
- (951) 738-0831
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PSY16552 | CA | Primary |
Addresses
Primary practice location
242 West Main Street
Suite 104
Tustin, CA 92780
Mailing address
PO Box 59583
Norwalk, CA 90652
Phone (714) 508-7335
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16552 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235220674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59583",
"city": "NORWALK",
"state": "CA",
"postal_code": "90652",
"telephone_number": "714-508-7335",
"fax_number": "951-738-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 WEST MAIN STREET",
"address_2": "SUITE 104",
"city": "TUSTIN",
"state": "CA",
"postal_code": "92780",
"telephone_number": "714-508-7335",
"fax_number": "951-738-0831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "NANCY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY16552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.