Active NPI
Stephen Quintana Taylor, PH.D.
- Psychologist
- Nashua, NH
National Provider Identifier
1720101702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 415
- Practice address
- 154 Broad St
Suite 1522
Nashua, NH 03063-3205 - Phone
- (603) 595-4448
- Fax
- (978) 692-3087
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4682 | MA | |
| Psychologist | 103T00000X | 415 | NH | Primary |
Addresses
Primary practice location
154 Broad St
Suite 1522
Nashua, NH 03063-3205
Mailing address
20 Kirsi Cir
Westford, MA 01886-2015
Phone (978) 692-6407
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 415 | NH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720101702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 KIRSI CIR",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018862015",
"telephone_number": "978-692-6407",
"fax_number": "978-692-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 BROAD ST",
"address_2": "SUITE 1522",
"city": "NASHUA",
"state": "NH",
"postal_code": "030633205",
"telephone_number": "603-595-4448",
"fax_number": "978-692-3087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "STEPHEN",
"middle_name": "QUINTANA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4682",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.