Taylor B Chesney, PSY.D

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

PSB36963 Issued in CA

Practice address

550 Hamilton Ave
Suite 329
Palo Alto, CA 94301-2010

Phone

(650) 646-4698

NPI assigned

Dec 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Taylor Lubitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 24, 2020 through Aug 24, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1801132865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CHARLES MARX WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042426",
            "telephone_number": "516-551-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HAMILTON AVE",
            "address_2": "SUITE 329",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012010",
            "telephone_number": "650-646-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNEY",
        "first_name": "TAYLOR",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "PSB36963",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY25953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "LUBITZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erika Cherk
• Courtney Elizabeth Cherniak, NP
• Chrisoula Cheronis, MD
• Andrew Cheshire, DMD
• Tracy Chesler, LCSW
• Charena Chetchavat, PT, DPT
• Sammy Cheuk, PA-C
• Cindy Cheung
• Jamie Cheung, MD
• Kristi Michele Cheung, OD

• Student in an Organized Health Care Education/Training Program in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.