Organization Active NPI

Cliffordtaylorphdpsychologicalservicesinc

  • Clinical Psychologist
  • Redlands, CA
National Provider Identifier
1568176501
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLIFFORDTAYLORPHDPSYCHOLOGICALSERVICESINC
Practice address
615 Brookside Ave Ste a
Redlands, CA 92373-4670
Phone
(909) 335-8890
Fax
(909) 307-1335
NPI assigned
Jan 12, 2023
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Dr. Clifford D Taylor, PH.D.NPI 1962577924
Title
Owner
Phone
(909) 213-2542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

615 Brookside Ave Ste a
Redlands, CA 92373-4670

Mailing address

PO Box 1963
Yucaipa, CA 92399-1454
Phone (909) 213-2542

National Provider Directory

National Provider Directory

Locations

615 Brookside Ave
Ste A
Redlands, CA 92373
Phone (909) 335-8890

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1568176501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1963",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991454",
            "telephone_number": "909-213-2542",
            "fax_number": "909-307-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BROOKSIDE AVE STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734670",
            "telephone_number": "909-335-8890",
            "fax_number": "909-307-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORDTAYLORPHDPSYCHOLOGICALSERVICESINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-213-2542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.