KC Taylor LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KC TAYLOR LLC

Practice address

703 Mill Creek Rd Ste E3
Manahawkin, NJ 08050-3804

Phone

(619) 549-9279

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kelly C Taylor, PSYD

Title

Owner/Authorized Official

Phone

(619) 549-9279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly C Travis, PSY.D.

  • Clinical Psychologist
  • Manahawkin, NJ
  • NPI 1275946576
  Medicare reassignment NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1972261394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MILL CREEK RD STE E3",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503804",
            "telephone_number": "619-549-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MILL CREEK RD STE E3",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503804",
            "telephone_number": "619-549-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC TAYLOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "619-549-9279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reed Kanakis, DPT
• Laurie Kane, MD
• Arti Kapoor
• Bridget Catherine Karkovice, FNP-BC
• Lana Kaykov, OTR/L
• William Francis Kennard, MD
• John J Kenny, D.O.
• Judy L Kerlin, APN
• Christopher Kerr
• Christopher Cosmo Kerscher, PT

• Clinical Psychologist in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.