Organization Active NPI

Tish Holub Taylor, PH.D.

  • Psychologist
  • Olathe, KS
National Provider Identifier
1639363716
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1284 Issued in KS
Legal business name
TISH HOLUB TAYLOR, PH.D.
Practice address
515 N Mur Len Rd
Olathe, KS 66062-1267
Phone
(913) 375-6273
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Tish Holub Taylor, PH.D.
Title
Psychologist
Phone
(913) 491-3680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1284 KS Primary

Addresses

Primary practice location

515 N Mur Len Rd
Olathe, KS 66062-1267

Mailing address

12125 Horton St
Overland Park, KS 66209-2771
Phone (913) 491-3680

National Provider Directory

National Provider Directory

Locations

515 N Mur Len Rd
Olathe, KS 66062
Phone (913) 375-6273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1639363716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 HORTON ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092771",
            "telephone_number": "913-491-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N MUR LEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621267",
            "telephone_number": "913-375-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISH HOLUB TAYLOR, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TISH",
        "authorized_official_middle_name": "HOLUB",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "913-491-3680",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.