Active NPI
Elise Spina Taylor, PSYD
- Clinical Psychologist
- Fort Lauderdale, FL
National Provider Identifier
1275839417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 7765
- Practice address
- 610 SW 34TH St
Suite 301
Fort Lauderdale, FL 33315-3623 - Phone
- (786) 236-7795
- NPI assigned
- Feb 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 7765 | FL | Primary |
Addresses
Primary practice location
610 SW 34TH St
Suite 301
Fort Lauderdale, FL 33315-3623
Mailing address
610 SW 34TH St
Suite 301
Fort Lauderdale, FL 33315-3623
Phone (786) 236-7795
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 7765 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1275839417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 SW 34TH ST",
"address_2": "SUITE 301",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333153623",
"telephone_number": "786-236-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SW 34TH ST",
"address_2": "SUITE 301",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333153623",
"telephone_number": "786-236-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ELISE",
"middle_name": "SPINA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-06",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 7765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.