Organization Active NPI

Taylor Psychological Innovators Inc.

  • Clinical Psychologist
  • Brisbane, CA
National Provider Identifier
1811487598
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TAYLOR PSYCHOLOGICAL INNOVATORS INC.
Practice address
44 Visitacion Ave Ste 103
Brisbane, CA 94005-1575
Phone
(415) 866-8508
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Dr. Enna Emperatriz Taylor, PSYDNPI 1366951402
Title
Ceo
Phone
(415) 866-8508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Forensic PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TF0200X PSY29272 CA

Addresses

Primary practice location

44 Visitacion Ave Ste 103
Brisbane, CA 94005-1575

Mailing address

44 Visitacion Ave Ste 103
Brisbane, CA 94005-1575
Phone (415) 508-9290

National Provider Directory

National Provider Directory

Locations

44 Visitacion Ave
Ste 103
Brisbane, CA 94005
Phone (415) 866-8508

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1811487598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 VISITACION AVE STE 103",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051575",
            "telephone_number": "415-508-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VISITACION AVE STE 103",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051575",
            "telephone_number": "415-866-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR PSYCHOLOGICAL INNOVATORS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ENNA",
        "authorized_official_middle_name": "EMPERATRIZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-866-8508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY29272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brisbane, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.