Douglas Allen Taylor, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2595 Issued in MA

Practice address

130 Elm St
Ste 100
Worcester, MA 01609-1903

Phone

(508) 363-4900

Fax

(508) 753-1785

NPI assigned

Oct 3, 2006

Last updated

May 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Place Associates, LLP

  • Counselor
  • Worcester, MA
  • NPI 1891860946
  NPD (past) Authorized official
• Norma L. Medway, Psy.D.PC

  • Psychologist
  • Worcester, MA
  • NPI 1124176797
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1891880456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RUSTIC DRIVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-752-1660",
            "fax_number": "508-753-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ELM ST",
            "address_2": "STE 100",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091903",
            "telephone_number": "508-363-4900",
            "fax_number": "508-753-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DOUGLAS",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "W02782",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Tawiah
• Taylor Rich
• Allison Marie Taylor, CNP
• Claritza Lee Taylor
• Dorcas Taylor, FNP-C
• Howard P Taylor, M.D.
• James Jordan Taylor, NP
• Julia D Taylor, FNP-C
• Kimberly N Taylor, NP
• Leslie Mary Taylor

• Clinical Psychologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.