Individual provider Active NPI

Elisa M Taylor, PH.D.

  • Psychologist
  • West Chester, PA
National Provider Identifier
1619010105
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015418 Issued in PW
Practice address
1450 E Boot Rd
Suite 500E
West Chester, PA 19380-5300
Phone
(484) 887-0299
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS015418 PW Primary

Addresses

Primary practice location

1450 E Boot Rd
Suite 500E
West Chester, PA 19380-5300

Mailing address

1450 E Boot Rd
Suite 500E
West Chester, PA 19380-5300
Phone (484) 887-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20070322000015 PA Practitioner - Clinical Psychologist 8527161009 Practice locations: West Chester, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1595 Paoli Pike
Suite 104
West Chester, PA 19380-6167
Phone (484) 887-0299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS015418PWMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosemary T. Hartnett, Inc. PastSince Sep 15, 2012 Accepting new patients
Susan E. R. Mitchell, Psy.D., LLC PastSince Oct 1, 2012 Accepting new patients

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1619010105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E BOOT RD",
            "address_2": "SUITE 500E",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805300",
            "telephone_number": "484-887-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E BOOT RD",
            "address_2": "SUITE 500E",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805300",
            "telephone_number": "484-887-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ELISA",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PW",
            "license": "PS015418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.