Philip R. Taft Psy.D. PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PHILIP R. TAFT PSY.D. PLLC

Practice address

715 W 2ND Ave
Corsicana, TX 75110-3012

Phone

(903) 872-4442

Fax

(903) 642-2550

NPI assigned

Jan 21, 2008

Last updated

Jul 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip Raymond Taft, PSY.D.NPI 1285762120

Title

Clinical Psychologist &Manager

Phone

(903) 872-4442

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Raymond Taft, PSYD

  • Clinical Psychologist
  • Corsicana, TX
  • NPI 1285762120
  Medicare reassignment Care Compare group NPD Authorized official
• Lucie A Black, L.P.C.

  • Mental Health Counselor
  • Corsicana, TX
  • NPI 1255900262
  Medicare reassignment Care Compare group NPD
• Ana Maria Matei, LPC

  • Professional Counselor
  • Waco, TX
  • NPI 1558979401
  Medicare reassignment Care Compare group NPD
• Lara Proctor, M.S., L.P.C.

  • Professional Counselor
  • Dallas, TX
  • NPI 1982059036
  Medicare reassignment Care Compare group NPD
• Roger Copeland, LPC

  • Professional Counselor
  • Waxahachie, TX
  • NPI 1689948895
  Medicare reassignment NPD
• Jenny Beatriz Henson, MS, LPC, LCDC

  • Professional Counselor
  • Corsicana, TX
  • NPI 1023769411
  Medicare reassignment NPD
• Shannon Higgins, LPC

  • Professional Counselor
  • Plano, TX
  • NPI 1619046497
  Medicare reassignment NPD
• Mona Prichard, MS, LPC

  • Counselor
  • Gustine, TX
  • NPI 1740412212
  Medicare reassignment NPD
• Lacy Michelle Theobald, LCSW

  • Clinical Social Worker
  • Temple, TX
  • NPI 1669965687
  Medicare reassignment NPD
• Venecia Plashette Williams, MA, LPC

  • Professional Counselor
  • Red Oak, TX
  • NPI 1275246720
  Medicare reassignment NPD
• Carin L Palmer

  • Professional Counselor
  • Durango, CO
  • NPI 1629314778

  TX

  Medicare reassignment NPD
• Audrey M Crouch, LPC, LCDC

  • Professional Counselor
  • Waxahachie, TX
  • NPI 1063017242
  Medicare reassignment

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720224000000",
    "number": "1366628331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 OAKLAWN DR",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102848",
            "telephone_number": "903-872-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103012",
            "telephone_number": "903-872-4442",
            "fax_number": "903-642-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S Martin Luther King Jr Hwy",
            "address_purpose": "LOCATION",
            "city": "Mexia",
            "state": "TX",
            "postal_code": "766673540",
            "country_code": "US",
            "telephone_number": "903-872-4443",
            "fax_number": "903-872-2125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 N Gate Dr",
            "address_purpose": "LOCATION",
            "city": "Waxahachie",
            "state": "TX",
            "postal_code": "751652378",
            "country_code": "US",
            "telephone_number": "903-872-4443",
            "fax_number": "903-872-2125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 Sanger Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767107807",
            "country_code": "US",
            "telephone_number": "903-872-4442",
            "fax_number": "903-642-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILIP R. TAFT PSY.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A",
        "authorized_official_last_name": "TAFT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST &MANAGER",
        "authorized_official_telephone_number": "903-872-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennisse Romero Pena, PT
• Jackeline Perez
• Anthony J Perri, MD
• Taylor Perry
• Jeffrey Scott Petty, DPM
• Justin B Pillans, DDS
• PM Management - Corsicana NC II LLC (Heritage Oaks Retirement Village)
• PM Management - Corsicana NC III LLC (Heritage Oaks West Retirement Village)
• PM Management - Corsicana NC LLC (Trisun Care Center - Corsicana)
• PM Management -Corsicana NC II, LLC (Heritage Oaks Retirement Village (ALF))

• Psychologist in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.