Active NPI
Amy L Taylor, PSY.D.
- Clinical Psychologist
- Gettysburg, PA
National Provider Identifier
1952556573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS016621
- Practice address
- 1400 Proline Place
Suite 1000
Gettysburg, PA 17325-9402 - Phone
- (717) 337-3005
- Fax
- (717) 337-3301
- NPI assigned
- Nov 24, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04412 | MD | |
| Clinical Psychologist | 103TC0700X | PS016621 | PA | Primary |
Addresses
Primary practice location
1400 Proline Place
Suite 1000
Gettysburg, PA 17325-9402
Mailing address
1400 Proline Place
Suite 1000
Gettysburg, PA 17325-9402
Phone (717) 337-3005
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04412 | MD | MD | Clinical Psychologist |
| PS016621 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macgregor Behavioral Health Services LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Gettysburg, PA
- NPI 1356424527
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1952556573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PROLINE PLACE",
"address_2": "SUITE 1000",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173259402",
"telephone_number": "717-337-3005",
"fax_number": "717-337-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PROLINE PLACE",
"address_2": "SUITE 1000",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173259402",
"telephone_number": "717-337-3005",
"fax_number": "717-337-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04412",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS016621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.