Lewis Jerome Taylor III, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001309 Issued in VA

Practice address

1500 E Little Creek Road
Suite 205
Norfolk, VA 23518

Phone

(757) 587-4744

Fax

(757) 587-4947

NPI assigned

Apr 11, 2006

Last updated

Aug 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hampton Roads Behavioral Health,PCGroup PAC ID 9739070780, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Hampton Roads Behavioral Health,PC

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1356394696
  Medicare reassignment Care Compare group NPD Authorized official
• Portsmouth Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, VA
  • NPI 1134199193
  Medicare reassignment NPD
• Portsmouth Community Health Center Inc

  dba Little Creek Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Norfolk, VA
  • NPI 1144604877
  NPD
• Portsmouth Community Health Center, Inc

  dba Park Place Medical Center

  • Federally Qualified Health Center (FQHC)
  • Norfolk, VA
  • NPI 1073833760
  NPD

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1609839596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E LITTLE CREEK ROAD",
            "address_2": "SUITE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23518",
            "telephone_number": "757-587-4744",
            "fax_number": "757-587-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E LITTLE CREEK ROAD",
            "address_2": "SUITE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23518",
            "telephone_number": "757-587-4744",
            "fax_number": "757-587-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LEWIS",
        "middle_name": "JEROME",
        "name_suffix": "III",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Taylor
• James Williamson Taylor, LPC
• Jennifer Taylor
• Jordan Areneal Taylor
• Kristen Rae Taylor, PA-C
• Lindsey Taylor
• Mimsey A Taylor, PT
• Nicole Taylor
• Rasheedah Carrolett Taylor, LCSW
• Robin Lynne Taylor, BS, MAED, CMT

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.