Individual provider Active NPI

Kala Taylor, PHD, LP-HSP

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1922598531
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3655 Issued in TN
Practice address
5201 Kingston Pike Ste 187
Knoxville, TN 37919-5026
Phone
(865) 229-4746
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11466 NE
Psychologist 103T00000X 3655 TN
School Psychologist 103TS0200X 3655 TN
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X 3655 TN Primary

Addresses

Primary practice location

5201 Kingston Pike Ste 187
Knoxville, TN 37919-5026

Mailing address

5201 Kingston Pike # 178
Knoxville, TN 37919-5026
Phone (865) 229-4746

Other practice location 1

255 E Watt St
Alcoa, TN 37701-2236
Phone (865) 273-1616

Other identifiers 1

IdentifierTypeStateIssuer
Q066537Medicaid

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11466NEMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1922598531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 KINGSTON PIKE # 178",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195026",
            "telephone_number": "865-229-4746",
            "fax_number": "865-229-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 KINGSTON PIKE STE 187",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195026",
            "telephone_number": "865-229-4746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Watt St",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377012236",
            "country_code": "US",
            "telephone_number": "865-273-1616",
            "fax_number": "865-273-1645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KALA",
        "name_prefix": "Dr.",
        "credential": "PHD, LP-HSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2022-08-12",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "11466",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3655",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TN",
            "license": "3655",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q066537",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.