Individual provider Active NPI

Taisha Caldwell-Harvey, PH.D.

  • Psychologist
  • Pleasanton, CA
National Provider Identifier
1396266151
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY29135 Issued in CA
Practice address
6430 Stoneridge Mall Rd Apt L113
Pleasanton, CA 94588-9458
Phone
(510) 629-0547
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY29135 CA Primary

Addresses

Primary practice location

6430 Stoneridge Mall Rd Apt L113
Pleasanton, CA 94588-9458

Mailing address

4682 Chabot Dr Unit 11271
Pleasanton, CA 94588-6145
Phone (510) 629-0547

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY29135CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
BGD Psychological Services Inc Psychologist Current Accepting new patients

Organizations & group practices 1

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1396266151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4682 CHABOT DR UNIT 11271",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945886145",
            "telephone_number": "510-629-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 STONERIDGE MALL RD APT L113",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945889458",
            "telephone_number": "510-629-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL-HARVEY",
        "first_name": "TAISHA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.