Organization Active NPI

Taylor Made IV Enterprises Inc

  • Marriage & Family Therapist
  • Ardmore, AL
National Provider Identifier
1912720871
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
TAYLOR MADE IV ENTERPRISES INC
Practice address
13781 Pulaski Pike
Ardmore, AL 35739-9520
Phone
(256) 337-0177
NPI assigned
Nov 7, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TAYLOR MADE IV ENTERPRISES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Malcolm Taylor IIINPI 1548083652
Title
Ceo/Owner
Phone
(256) 337-0177

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

13781 Pulaski Pike
Ardmore, AL 35739-9520

Mailing address

13781 Pulaski Pike
Ardmore, AL 35739-9520
Phone (256) 337-0177

National Provider Directory

National Provider Directory
Part of
Taylor Made IV Enterprises Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1912720871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13781 PULASKI PIKE",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357399520",
            "telephone_number": "256-337-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13781 PULASKI PIKE",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357399520",
            "telephone_number": "256-337-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MADE IV ENTERPRISES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAYLOR MADE IV ENTERPRISES INC",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "256-337-0177",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.