Active NPI
Grace Taylor, M.A., PSYD.
- Psychologist
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3882
- Practice address
- 1700 NW Civic Dr Ste 310
Gresham, OR 97030-3774 - Phone
- (503) 666-8832
- Fax
- (503) 669-8641
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | 3882 | OR | Primary |
Addresses
Primary practice location
1700 NW Civic Dr Ste 310
Gresham, OR 97030-3774
Mailing address
1700 NW Civic Dr Ste 310
Gresham, OR 97030-3774
Phone (503) 666-8832
Other practice location 1
2222 E Powell Blvd
Gresham, OR 97080-1365
Phone (503) 669-4300
Other practice location 2
1411 SW Morrison St Ste 310
Portland, OR 97205-1945
Phone (503) 352-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
64503 2ND St
Deer Island, OR 97054-9745
Phone (503) 610-3615
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3882 | OR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hart-2-Heart Therapy Services | Current | Accepting new patients |
Locations
2870 NE Hogan Dr
Ste E
Gresham, OR 97030
Phone (503) 610-0735
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Gresham, OR
- NPI 1669172656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1902395874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NW CIVIC DR STE 310",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303774",
"telephone_number": "503-666-8832",
"fax_number": "503-669-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NW CIVIC DR STE 310",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303774",
"telephone_number": "503-666-8832",
"fax_number": "503-669-8641"
}
],
"practiceLocations": [
{
"address_1": "2222 E Powell Blvd",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970801365",
"country_code": "US",
"telephone_number": "503-669-4300",
"fax_number": "503-669-4301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1411 SW Morrison St Ste 310",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972051945",
"country_code": "US",
"telephone_number": "503-352-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "GRACE",
"name_prefix": "Dr.",
"credential": "M.A., PSYD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.