Stephen F Taylor, MA LP – Clinical Psychologist

Key facts

NPI: 1275634669
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: LP2571 (MN)
Practice address: 8062 Highway 37
Eveleth, MN 55734-4116
Phone: (218) 744-4040
Fax: (218) 744-4202
NPI assigned: Sep 26, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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

Lotus Transitional Services Community/Behavioral Health Agency · Eveleth, MN · NPI 1770960932

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
LP2571	MN	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Lotus Transitional Services		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	LP2571	MN	Yes

Addresses

Primary practice location

8062 Highway 37
Eveleth, MN 55734-4116

Mailing address

428 Monroe St
Eveleth, MN 55734-1537
Phone (218) 744-4040

Other identifiers

Identifier	Type	State	Issuer
256552800	Medicaid	MN

Other providers in Eveleth, MN

All providers in Eveleth, MN · Clinical Psychologist in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.