Individual provider Active NPI

Amy Marie Taylor, M.D.

  • Psychiatry Physician
  • Ayer, MA
National Provider Identifier
1841277357
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
225816 Issued in MA
Practice address
42 Patton Rd
Ayer, MA 01434-4006
Phone
(978) 796-1000
Fax
(978) 796-1085
NPI assigned
Dec 27, 2005
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 225816 MA Primary

Addresses

Primary practice location

42 Patton Rd
Ayer, MA 01434-4006

Mailing address

1105 Farmington Ave
Apt 1F
West Hartford, CT 06107-2117
Phone (617) 547-3465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050719000704 MA Practitioner - Psychiatry 5092742338 Reassigns benefits to 3 organizations
I20201012001590 MO Practitioner - Psychiatry 5092742338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Oct 1, 2006 Accepting new patients
State of Missouri Psychiatry CurrentSince Jun 18, 2020 Accepting new patients
Mount Auburn Hospital CurrentSince Jul 20, 2015 Accepting new patients
Massachusetts General Physicians Organization Inc Psychiatry CurrentSince Jul 20, 2015 Accepting new patients
Baystate Medical Practices, Inc Psychiatry Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#1
Boston, MA 02114
Phone (617) 724-4100

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

5300 Arsenal St
Saint Louis, MO 63139
Phone (314) 644-8000

5351 Delmar Blvd
Saint Louis, MO 63112
Phone (314) 644-8552

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Louis Forensic Treatment CenterSaint Louis, MO, CCN 264010 Hospital W-2 Managing Employee Jul 3, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1841277357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 FARMINGTON AVE",
            "address_2": "APT 1F",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072117",
            "telephone_number": "617-547-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PATTON RD",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014344006",
            "telephone_number": "978-796-1000",
            "fax_number": "978-796-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "225816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ayer, MA

Sources for this page

Verify at the official NPI Registry.