Active NPI
Charlotte Einarson Taylor, LEP
- School Psychologist
- South Pasadena, CA
National Provider Identifier
1699908541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- EY1643
- Practice address
- 630 Mission St
Suite C2
South Pasadena, CA 91030-3038 - Phone
- (626) 403-3040
- Fax
- (626) 403-3042
- NPI assigned
- Aug 26, 2009
- Last updated
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | EY1643 | CA | Primary |
Addresses
Primary practice location
630 Mission St
Suite C2
South Pasadena, CA 91030-3038
Mailing address
630 Mission St
Suite C2
South Pasadena, CA 91030-3038
Phone (626) 403-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EY1643 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1699908541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 MISSION ST",
"address_2": "SUITE C2",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303038",
"telephone_number": "626-403-3040",
"fax_number": "626-403-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 MISSION ST",
"address_2": "SUITE C2",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303038",
"telephone_number": "626-403-3040",
"fax_number": "626-403-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CHARLOTTE",
"middle_name": "EINARSON",
"name_prefix": "Ms.",
"credential": "LEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "EY1643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.