Organization Active NPI

Edward C. Taylor, PHD. PL

  • Counseling Psychologist
  • Jacksonville, FL
National Provider Identifier
1992370456
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
EDWARD C. TAYLOR, PHD. PL
Practice address
8382 Baymeadows Rd Ste 1
Jacksonville, FL 32256-7436
Phone
(904) 886-9006
Fax
(904) 886-4060
NPI assigned
May 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Stacy Lee Smith
Title
Office Manager
Phone
(904) 886-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

8382 Baymeadows Rd Ste 1
Jacksonville, FL 32256-7436

Mailing address

8382 Baymeadows Rd Ste 1
Jacksonville, FL 32256-7436
Phone (904) 886-9006

Other names 1

  • Edward C Taylor, Phd & The Learning Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edward C Taylor PHD PL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8382 Baymeadows Rd
Ste 1
Jacksonville, FL 32256
Phone (904) 886-9006

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": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1992370456",
    "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": "8382 BAYMEADOWS RD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567436",
            "telephone_number": "904-886-9006",
            "fax_number": "904-886-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C. TAYLOR, PHD. PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-886-9006"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward C Taylor, Phd & The Learning Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.