Active NPI
Cheryl Ellen Taylor, MA EDS
- Clinical Psychologist
- Bluefield, WV
National Provider Identifier
1275860462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 997
- Practice address
- 1333 Southview Drive
Bluefield, WV 24701-4317 - Phone
- (304) 325-4673
- Fax
- (304) 327-9210
- NPI assigned
- Nov 9, 2009
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0 | WV | |
| Clinical Psychologist | 103TC0700X | 997 | WV | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 997 | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | 997 | ||
| Counseling Psychologist | 103TC1900X | 997 | WV | |
| Family Psychologist | 103TF0000X | 997 | ||
| Forensic Psychologist | 103TF0200X | 997 | ||
| Marriage & Family Therapist | 106H00000X | 997 | ||
| Forensic Psychologist | 103TF0200X | 997 | WV | |
| Group Psychotherapy Psychologist | 103TP2701X | 997 | WV | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 997 | WV | |
| Psychologist | 103T00000X | 997 | WV |
Addresses
Primary practice location
1333 Southview Drive
Bluefield, WV 24701-4317
Mailing address
118 12TH Street
Princeton, WV 24740-2352
Phone (304) 487-7936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810016308 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1333 Southview Dr
Bluefield, WV 24701-4317
Phone (304) 327-9205
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 997 | WV | MD | Intellectual & Developmental Disabilities Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| Princeton Community Hospital Assn., Inc. | Current | Accepting new patients |
Locations
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
1333 Southview Dr
Bluefield, WV 24701
Phone (304) 327-2900
Interoperability endpoints
- ctaylor358232@direct.wvuhsdirect.com
Organizations & group practices 3
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.
-
- Urology Physician
- Princeton, WV
- NPI 1093917643
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
-
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1235446485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1275860462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 12TH STREET",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402352",
"telephone_number": "304-487-7936",
"fax_number": "304-487-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 SOUTHVIEW DRIVE",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247014317",
"telephone_number": "304-325-4673",
"fax_number": "304-327-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CHERYL",
"middle_name": "ELLEN",
"credential": "MA EDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WV",
"license": "0",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "997",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": "997",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": "997",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WV",
"license": "997",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": "997",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": null,
"license": "997",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": "997",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "WV",
"license": "997",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "WV",
"license": "997",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "WV",
"license": "997",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "997",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810016308",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.