Individual provider Active NPI

Erin Kathleen Taylor, PH.D.

  • Clinical Psychologist
  • Charlotte, NC
National Provider Identifier
1437236486
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3212 Issued in NC
Practice address
3303 Latrobe Dr
Charlotte, NC 28211-4851
Phone
(704) 362-2663
Fax
(704) 362-2836
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3212 NC Primary

Addresses

Primary practice location

3303 Latrobe Dr
Charlotte, NC 28211-4851

Mailing address

3303 Latrobe Dr
Charlotte, NC 28211-4851
Phone (704) 362-2663

Other identifiers 1

IdentifierTypeStateIssuer
6000971MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sapphire Health Psychology Current Accepting new patients

Locations

5970 Fairview Rd
Ste 414
Charlotte, NC 28210
Phone (980) 220-2438

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1437236486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114851",
            "telephone_number": "704-362-2663",
            "fax_number": "704-362-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114851",
            "telephone_number": "704-362-2663",
            "fax_number": "704-362-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000971",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.