Individual provider Active NPI

Amy Taylor, PSY.D.

  • Clinical Psychologist
  • Lexington, KY
National Provider Identifier
1750838587
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
171861 Issued in KY
Practice address
2365 Harrodsburg Rd
Suite B225
Lexington, KY 40504-3335
Phone
(859) 276-0700
Fax
(859) 276-0707
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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 171861 KY Primary

Addresses

Primary practice location

2365 Harrodsburg Rd
Suite B225
Lexington, KY 40504-3335

Mailing address

2365 Harrodsburg Rd
Suite B225
Lexington, KY 40504-3335
Phone (859) 276-0700

Other identifiers 1

IdentifierTypeStateIssuer
7100448930MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170117002406 KY Practitioner - Clinical Psychologist 1153603634 Practice locations: Lexington, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2365 Harrodsburg Rd
Suite B225
Lexington, KY 40504-3377
Phone 85927607004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1750838587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 HARRODSBURG RD",
            "address_2": "SUITE B225",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043335",
            "telephone_number": "859-276-0700",
            "fax_number": "859-276-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 HARRODSBURG RD",
            "address_2": "SUITE B225",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043335",
            "telephone_number": "859-276-0700",
            "fax_number": "859-276-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "171861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100448930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.