Edward Calhoun Taylor, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY3397 Issued in FL

Practice address

3750 San Jose PL
Suite 35
Jacksonville, FL 32257-8858

Phone

(904) 886-9006

Fax

(904) 886-4060

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Edward C. Taylor, PHD. PL

  • Counseling Psychologist
  • Jacksonville, FL
  • NPI 1992370456
  NPD

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1962568394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8382 BAYMEADOWS RD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567436",
            "telephone_number": "904-886-9006",
            "fax_number": "904-886-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 SAN JOSE PL",
            "address_2": "SUITE 35",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578858",
            "telephone_number": "904-886-9006",
            "fax_number": "904-886-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "EDWARD",
        "middle_name": "CALHOUN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY3397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Robert Taylor, M.D.
• Bridgett Taylor
• Cayla Taylor, PA-C
• Charles Edward Taylor III
• Chelsea Rachelle Taylor
• Elizette Taylor
• Genna Taylor
• J'Kera Taylor
• Jamekka Taylor
• Jasmine Taylor

• Counseling Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.