Individual provider Active NPI

Erikka Daniene Taylor, MD, MPH

  • Child & Adolescent Psychiatry Physician
  • Durham, NC
National Provider Identifier
1366618332
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2011-00111 Issued in NC
Practice address
3616 Shannon Rd Ste 200
Durham, NC 27707-3532
Phone
(919) 551-5503
Fax
(919) 551-5499
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 2011-00111 NC Primary

Addresses

Primary practice location

3616 Shannon Rd Ste 200
Durham, NC 27707-3532

Mailing address

3616 Shannon Rd Ste 200
Durham, NC 27707-3532
Phone (919) 551-5503

Other practice location 1

4024 Stirrup Creek Dr
Durham, NC 27703-9464
Phone (919) 908-9730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-00111NCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Health Associates, P.a. CurrentSince Aug 17, 2022 Accepting new patients
Catalyst Therapeutic Services, PLLC Past Accepting new patients

Locations

555 S Mangum St
Ste 100
Durham, NC 27701
Phone (323) 545-3659

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

2717 Commercial Center Blvd
Ste E200
Katy, TX 77494
Phone (281) 865-5433

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1366618332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 SHANNON RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073532",
            "telephone_number": "919-551-5503",
            "fax_number": "919-551-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 SHANNON RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073532",
            "telephone_number": "919-551-5503",
            "fax_number": "919-551-5499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4024 Stirrup Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277039464",
            "country_code": "US",
            "telephone_number": "919-908-9730",
            "fax_number": "919-908-9778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ERIKKA",
        "middle_name": "DANIENE",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2011-00111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.