Individual provider Active NPI

Patricia Taylor, PH.D.

  • Clinical Psychologist
  • Goffstown, NH
National Provider Identifier
1558744136
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1428 Issued in NH
Practice address
20 1St Ave
Goffstown, NH 03045-1716
Phone
(914) 310-4243
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1428 NH Primary

Addresses

Primary practice location

20 1St Ave
Goffstown, NH 03045-1716

Mailing address

20 1St Ave
Goffstown, NH 03045-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250324001598 MD Practitioner - Clinical Psychologist 9830430347 Reassigns benefits to 1 organization
I20250328000044 VA Practitioner - Clinical Psychologist 9830430347 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Backpack Medical Group, P.C. CurrentSince Jan 15, 2025 Accepting new patients
Linnel Inc PastSince Sep 5, 2023 Accepting new patients

Locations

1453 N Rolling Rd
Catonsville, MD 21228
Phone (410) 455-5461

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1558744136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 1ST AVE",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030451716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 1ST AVE",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030451716",
            "telephone_number": "914-310-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goffstown, NH

Sources for this page

Verify at the official NPI Registry.