Active NPI
Kesia Taylor
- School Psychologist
- Calumet City, IL
National Provider Identifier
1275369548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2054062
- Practice address
- 530 Superior Ave
Calumet City, IL 60409-3439 - Phone
- (708) 868-7926
- Fax
- (708) 868-7671
- NPI assigned
- Sep 12, 2024
- Last updated
- Sep 12, 2024
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2054062 | IL | Primary |
Addresses
Primary practice location
530 Superior Ave
Calumet City, IL 60409-3439
Mailing address
2101 Arthur St
Gary, IN 46404-3062
Phone (219) 356-1902
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2054062 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1275369548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 ARTHUR ST",
"city": "GARY",
"state": "IN",
"postal_code": "464043062",
"telephone_number": "219-356-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 SUPERIOR AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604093439",
"telephone_number": "708-868-7926",
"fax_number": "708-868-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KESIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "2054062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calumet City, IL
- T's Surgical Assisting LLC
- T&R Enterprises LLC
- Shahida Tanveer, MD
- Target Corporation (Target Pharmacy)
- Alethea Crystal Taylor, FNP
- The Shuttle People
- The University of Chicago Medical Center (UCMC Pharmacy Services)
- The University of Chicago Medical Center (UCMC Pharmacy Services)
- The Womenbrand Inc.
- Skyler Monet Thompson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.