Individual provider Active NPI

Catherine I Taylor, LICSW

  • Psychologist
  • Hartford, VT
National Provider Identifier
1457426769
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0890000925 Issued in VT
Practice address
49 School Street
Hartford, VT 05047
Phone
(802) 295-3031
Fax
(802) 295-0820
NPI assigned
Nov 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0890000925 VT Primary

Addresses

Primary practice location

49 School Street
Hartford, VT 05047

Mailing address

One Hospital Court
Suite 410
Bellows Falls, VT 05101
Phone (802) 463-3947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000682 VA Practitioner - Clinical Social Worker 3870567522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Associates of TidewaterGroup PAC ID 4981688744, 9 clinicians

Practice addresses (Care Compare)

12695 McManus Blvd
BLDG 8
Newport News, VA 23602-4442
Phone (757) 877-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0890000925VTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates of Tidewater Psychologist CurrentSince Jul 2, 2009 Accepting new patients

Locations

12695 McManus Blvd
Bldg 8
Newport News, VA 23602
Phone (757) 877-7700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457426769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL COURT",
            "address_2": "SUITE 410",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "05101",
            "telephone_number": "802-463-3947",
            "fax_number": "802-463-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SCHOOL STREET",
            "city": "HARTFORD",
            "state": "VT",
            "postal_code": "05047",
            "telephone_number": "802-295-3031",
            "fax_number": "802-295-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CATHERINE",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "0890000925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, VT

Sources for this page

Verify at the official NPI Registry.