Individual provider Active NPI

Tiyana Kia Chaney-Taylor, PHD, LCSW, BC-TMH

  • Health Service Psychologist
  • Wilmington, NC
National Provider Identifier
1548684897
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
6689 Issued in NC
Practice address
601 S College Rd
Wilmington, NC 28403-3201
Phone
(910) 962-2901
NPI assigned
Feb 6, 2014
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1895 SC
Health Service Psychologist 103TH0100X 6689 NC Primary
Clinical Social Worker 1041C0700X CSW007453 GA
Clinical Social Worker 1041C0700X C018643 NC
Clinical Social Worker 1041C0700X 16453 SC
Clinical Social Worker 1041C0700X 7392 TN

Addresses

Primary practice location

601 S College Rd
Wilmington, NC 28403-3201

Mailing address

304 Holiday Dr
Hampstead, NC 28443-3582
Phone (910) 382-9450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1895SCMDPsychologist
6689NCMDHealth Service Psychologist
CSW007453GAMDClinical Social Worker
16453SCMDClinical Social Worker
7392TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1548684897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HOLIDAY DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433582",
            "telephone_number": "910-382-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033201",
            "telephone_number": "910-962-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY-TAYLOR",
        "first_name": "TIYANA",
        "middle_name": "KIA",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "1895",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "6689",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007453",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018643",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16453",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.