Active NPI
Clifford A Taylor, M.D.
- Psychiatry Physician
- Morristown, NJ
National Provider Identifier
1467544361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA04217400
- Practice address
- 261 James St
Suite 2ER
Morristown, NJ 07960-6392 - Phone
- (973) 540-1656
- Fax
- (973) 540-1889
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Psychiatry Physician | 2084P0800X | 25MA04217400 | NJ | Primary |
Addresses
Primary practice location
261 James St
Suite 2ER
Morristown, NJ 07960-6392
Mailing address
261 James St
Suite 2ER
Morristown, NJ 07960-6392
Phone (973) 540-1656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222846600 | Other | NJ | TAX ID |
Medicare participation
Medicare enrollment files- 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: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 12, 2012 through May 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04217400 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1467544361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 JAMES ST",
"address_2": "SUITE 2ER",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606392",
"telephone_number": "973-540-1656",
"fax_number": "973-540-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 JAMES ST",
"address_2": "SUITE 2ER",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606392",
"telephone_number": "973-540-1656",
"fax_number": "973-540-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CLIFFORD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA04217400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "222846600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.