Constance Marie Taylor, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9649 Issued in CA

Practice address

222 E. Olive Avenue
Suite 7
Redlands, CA 92373-5268

Phone

(909) 798-7711

Fax

(909) 798-5188

NPI assigned

Apr 5, 2006

Reactivated

Feb 27, 2012

Last updated

Mar 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Redlands Therapy Group

  • Clinical Psychologist
  • Redlands, CA
  • NPI 1992949754
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1386606143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E. OLIVE AVENUE",
            "address_2": "SUITE 7",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735268",
            "telephone_number": "909-798-7711",
            "fax_number": "909-798-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E. OLIVE AVENUE",
            "address_2": "SUITE 7",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735268",
            "telephone_number": "909-798-7711",
            "fax_number": "909-798-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CONSTANCE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-03-01",
        "deactivation_date": "2009-09-10",
        "reactivation_date": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "9649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Tatevossian, DDS FAACP
• Bobby Lee Taunton III, CADC-II, ICADC
• Poonam Tavkar-Conley, PH.D.
• Alisa Leanne Taylor
• Clifford D. Taylor, PH.D.
• Karissa Madison Taylor
• Lanier Parnell Taylor, D.D.S.
• Tanya L Taylor
• Timothy Michael Taylor, NP
• Lena Te, PHARM.D.

• Psychologist in Redlands, CA
• Providers in Redlands, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.