Peter J. Taylor, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

012007 Issued in NY

Practice address

585 W End Ave
Suite 1G
New York, NY 10024-1715

Phone

(212) 496-9310

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 14, 2017 through Aug 14, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427066539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 SLEEPY HOLLOW RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102525",
            "telephone_number": "914-944-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 W END AVE",
            "address_2": "SUITE 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241715",
            "telephone_number": "212-496-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PETER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01473261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Beatrice Taylor, PA
• Matthew Lucky Taylor, CASAC-T
• Meghan Elizabeth Taylor
• Nefertiti Taylor
• Noel Ellen Taylor, M.D.
• Primrose Taylor, LMSW
• Raphael Taylor, LMSW
• Reylynn Reid Taylor, PA
• Ryan Maxwell Taylor
• Samuel Taylor, M.D.

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.