Organization Active NPI

Trinh Taylor Corp

  • Clinical Psychologist
  • Encino, CA
National Provider Identifier
1982197174
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24474 Issued in CA
Legal business name
TRINH TAYLOR CORP
Practice address
16055 Ventura Blvd Ste 1112
Encino, CA 91436-2612
Phone
(818) 723-5435
Fax
(818) 858-1870
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Dr. Thao T Taylor, PSY.D.NPI 1184817041
Title
Ceo
Phone
(818) 723-5435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PSY24474 CA Primary

Addresses

Primary practice location

16055 Ventura Blvd Ste 1112
Encino, CA 91436-2612

Mailing address

24342 Vista Hills Dr
Valencia, CA 91355-3130
Phone (818) 723-5435

Other identifiers 1

IdentifierTypeStateIssuer
1768409791MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191226000375 CA Part B Supplier - Clinic/Group Practice 5395179493 Receives reassigned benefits from 1 practitioner
Practice locations: Valencia, CA

National Provider Directory

National Provider Directory

Locations

16055 Ventura Blvd
Ste 1112
Encino, CA 91436
Phone (818) 284-4006

25129 The Old Rd
Ste 202
Stevenson Ranch, CA 91381
Phone (661) 288-2960

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1982197174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24342 VISTA HILLS DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553130",
            "telephone_number": "818-723-5435",
            "fax_number": "818-858-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 1112",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362612",
            "telephone_number": "818-723-5435",
            "fax_number": "818-858-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINH TAYLOR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "THAO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-723-5435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1768409791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.