Stephanie Taylor

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

12076743-2501 Issued in UT

Practice address

170 S 1000 E Ste 201
Salt Lake City, UT 84102-1403

Phone

(801) 419-0139

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1477125573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 E KENSINGTON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052314",
            "telephone_number": "530-638-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S 1000 E STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021403",
            "telephone_number": "801-419-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "12076743-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "UCEBT",
            "affiliation": "N",
            "endpointDescription": "UCEBT",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Salt Lake City",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Salt Lake City",
            "address_1": "170 S 1000 E Ste 201",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841021403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Lee Taylor, MOT, OTR/L
• Rebecca Marie Taylor
• Robert Scott Taylor, CPSS
• Robyn R. Taylor, APRN
• Shannielle Taylor
• Stephanie Taylor
• Tonya Taylor
• Willy Taylor, PA-C
• Zachary Taylor, D.C.
• Zana Michelle Taylor

• Clinical Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.