Sandra J Taylor, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC2706 Issued in ME

Practice address

650 Main Street
Suite 103
South Portland, ME 04106

Phone

(207) 774-4564

Fax

(207) 774-0006

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Food Addiction Chemical Dependency Consultants LLC

  • Addiction (Substance Use Disorder) Counselor
  • So Portland, ME
  • NPI 1881627958
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982818308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEACLIFF AVENUE",
            "address_2": "UNIT 7A",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "04064",
            "telephone_number": "207-730-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAIN STREET",
            "address_2": "SUITE 103",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-774-4564",
            "fax_number": "207-774-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC2706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Tarleton, LMT
• Erin Taylor, AUD
• Hannah Taylor, PH.D.
• Kenneth Oscar Taylor
• Robert Taylor, LCSW, LADC, CCS
• Taylormade Counseling LLC
• Vatche Tchekmedyian, M.D.
• Kassidy Temm
• Andrew J. Tenenbaum, DO
• Brooklyn Jane Terwilliger, MSW, LGSW

• Addiction (Substance Use Disorder) Counselor in South Portland, ME
• Providers in South Portland, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.