Matthew Taylor, PHD

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

00060970 Issued in CA

Practice address

27645 E Trail Ridge Way Apt 1007
Moreno Valley, CA 92555-3122

Phone

(951) 500-7636

NPI assigned

Apr 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Taylormade Counseling & Consulting, LLC

  • Mental Health Counselor
  • Wildomar, CA
  • NPI 1801486048

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1851955181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27645 E TRAIL RIDGE WAY APT 1007",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553122",
            "telephone_number": "951-500-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27645 E TRAIL RIDGE WAY APT 1007",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553122",
            "telephone_number": "951-500-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "00060970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtaylor@gracehousesoberliving.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27645 E Trail Ridge Way Apt 1007",
            "city": "Moreno Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925553122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Talar Tatum
• Emilio Carreon Tayag, M.D.
• Etta J Taylor, MSW
• Isha Saeeda Taylor, PHYSICIAN ASSISTANT
• Laurie Taylor, NONE
• Naomy D Taylor
• Rebekah Taylor
• TCM Acupuncture & Herb Inc.
• Teresa Elizabeth Teacher, LCSW
• Ted T. Im, DDS, Inc.

• Addiction (Substance Use Disorder) Psychologist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Addiction (Substance Use Disorder) Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.