Nicholas Dale Taylor, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

38203 Issued in TX

Practice address

8701 Shoal Creek Blvd Ste 404
Austin, TX 78757-6809

Phone

(513) 813-0640

NPI assigned

Aug 11, 2014

Last updated

Oct 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 1, 2025 through Dec 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666396800000",
    "number": "1447669874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 SHOAL CREEK BLVD STE 404",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576809",
            "telephone_number": "513-813-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 SHOAL CREEK BLVD STE 404",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576809",
            "telephone_number": "513-813-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NICHOLAS",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2022-10-22",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "38203",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PSYCHOLOGY PRACTICE LICENSE",
            "identifier": "38203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie K Taylor, NP
• Marcia Gay Taylor, R.N., L.AC.
• Margaret Taylor, NP
• May Matson Taylor, PH.D.
• Meridith Taylor
• Patricia Lynn Taylor, L.P.C.
• Philip O Taylor I
• Rachel Elaine Taylor
• Reagan Lea Taylor, L.AC.
• Rebekah Taylor, LPC

• Clinical Child & Adolescent Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Child & Adolescent Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2022; 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.