Individual provider Active NPI

James Taylor, PHD

  • Cognitive & Behavioral Psychologist
  • Bedford, TX
National Provider Identifier
1942224704
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
22268 Issued in TX
Practice address
1912 Central Dr
Suite a
Bedford, TX 76021-5894
Phone
(817) 545-8895
Fax
(817) 545-8897
NPI assigned
Jul 26, 2006
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 22268 TX Primary

Addresses

Primary practice location

1912 Central Dr
Suite a
Bedford, TX 76021-5894

Mailing address

1912 Central Dr
Suite a
Bedford, TX 76021-5894
Phone (817) 545-8895

Other identifiers 2

IdentifierTypeStateIssuer
097303402MedicaidTX
00A88LOtherTXPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1942224704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 CENTRAL DR",
            "address_2": "SUITE A",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215894",
            "telephone_number": "817-545-8895",
            "fax_number": "817-545-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 CENTRAL DR",
            "address_2": "SUITE A",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215894",
            "telephone_number": "817-545-8895",
            "fax_number": "817-545-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JAMES",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "22268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097303402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00A88L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.