Active NPI
Taylor Kathleen Locker, PH.D.
- Clinical Psychologist
- West Lafayette, IN
National Provider Identifier
1982015764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20043054A
- Practice address
- 480 W Navajo St Ste B
West Lafayette, IN 47906-1940 - Phone
- (765) 637-9200
- Fax
- (765) 637-9202
- NPI assigned
- May 14, 2014
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 073687 | IA | |
| Psychologist | 103T00000X | 20043054A | IN | |
| Counseling Psychologist | 103TC1900X | |||
| Health Service Psychologist | 103TH0100X | IN | ||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Clinical Psychologist | 103TC0700X | 20043054A | IN | Primary |
Addresses
Primary practice location
480 W Navajo St Ste B
West Lafayette, IN 47906-1940
Mailing address
480 W Navajo St Ste B
West Lafayette, IN 47906-1940
Phone (765) 637-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
480 W Navajo St
Suite B
West Lafayette, IN 47906-1940
Phone (765) 637-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073687 | IA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Locker Psychological Services, LLC | Psychologist | Current | Accepting new patients |
Locations
678B N 36th St
Lafayette, IN 47905
Phone (765) 237-9536
480 W Navajo St
#B
West Lafayette, IN 47906
Phone (765) 463-1370
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
- West Lafayette, IN
- NPI 1831615665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1982015764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 W NAVAJO ST STE B",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061940",
"telephone_number": "765-637-9200",
"fax_number": "765-637-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 W NAVAJO ST STE B",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061940",
"telephone_number": "765-637-9200",
"fax_number": "765-637-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKER",
"first_name": "TAYLOR",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "073687",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20043054A",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043054A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.