Individual provider Active NPI

Elizabeth Schiappa Taylor, PH.D.

  • Clinical Psychologist
  • Burbank, CA
National Provider Identifier
1679730774
Registry record updated May 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
16308 Issued in CA
Practice address
4405 W Riverside Dr
201
Burbank, CA 91505-4072
Phone
(626) 792-1103
NPI assigned
May 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2008

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 16308 CA Primary

Addresses

Primary practice location

4405 W Riverside Dr
201
Burbank, CA 91505-4072

Mailing address

4405 W Riverside Dr
201
Burbank, CA 91505-4072
Phone (626) 792-1103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091103000232 CA Practitioner - Clinical Psychologist 1658418140 Practice locations: Glendale, CA; Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1360 Opechee Way
Glendale, CA 91208-1967
Phone (626) 792-1103

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211068800000",
    "number": "1679730774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR",
            "address_2": "201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054072",
            "telephone_number": "626-792-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR",
            "address_2": "201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054072",
            "telephone_number": "626-792-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ELIZABETH",
        "middle_name": "SCHIAPPA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "16308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.