Active NPI
Patricia Ellen Taylor, PHD
- Clinical Child & Adolescent Psychologist
- American Fork, UT
National Provider Identifier
1922158096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 4873001-2501
- Practice address
- 796 E Pacific Dr Ste a
American Fork, UT 84003-3161 - Phone
- (801) 756-1626
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4873001-2501 | UT | Primary |
Addresses
Primary practice location
796 E Pacific Dr Ste a
American Fork, UT 84003-3161
Mailing address
560 W 800 N
Orem, UT 84057-3746
Phone (801) 225-6246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 16, 2025 through Apr 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4873001-2501 | UT | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1922158096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W 800 N",
"city": "OREM",
"state": "UT",
"postal_code": "840573746",
"telephone_number": "801-225-6246",
"fax_number": "801-225-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "796 E PACIFIC DR STE A",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840033161",
"telephone_number": "801-756-1626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "PATRICIA",
"middle_name": "ELLEN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "UT",
"license": "4873001-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.