Maxine Taylor, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC12351 Issued in MD

Practice address

9199 Reisterstown Rd Ste 202B
Owings Mills, MD 21117-4579

Phone

(443) 227-4076

NPI assigned

Feb 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maxine Taylor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1255085924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 ECHODALE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142704",
            "telephone_number": "443-722-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 202B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174579",
            "telephone_number": "443-227-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MAXINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "LC12351",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAXINE",
            "last_name": "TAYLOR",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amber Taylor
• Fatima T. Taylor, CRNP
• James Taylor
• Katy Renee Taylor, COTA
• Keith Taylor, ATC, LAT
• Shannon Taylor
• Sonia Taylor
• Wendy Teie
• Alexandria A Temple
• Tender Hearts LLC

• Professional Counselor in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.