Shawn Taylor

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH003607 Issued in PA

Practice address

39 Cedar CT
Royersford, PA 19468-1492

Phone

(215) 301-4100

NPI assigned

Oct 13, 2017

Last updated

Oct 13, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Taylor Behavioral Health Services

  • Community/Behavioral Health Agency
  • Pottstown, PA
  • NPI 1396414132
  NPD Authorized official

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1245741560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CEDAR CT",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CEDAR CT",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681492",
            "telephone_number": "215-301-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "BH003607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Stosz, PT, DPT, ACT
• Maya Stratton, PHARMD
• Linda Sullivan, MSW, LCSW
• Kyle Surbrook, PHARMD, MS
• Amy Malloy Takesian, PSY.D.
• Zachary Alexander Taylor
• The Giant Company, LLC (Giant Pharmacy #6317)
• The Giant Company, LLC (Giant Pharmacy #6284)
• The Sensory Center, LLC
• Ronak Hansrajbhai Thesiya, DDS

• Community/Behavioral Health Agency in Royersford, PA
• Providers in Royersford, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.