SAMUEL TAYLOR (NPI# 1295240612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295240612 |
| Entity Type | Individual |
| Full Name | SAMUEL TAYLOR |
| Credential | LPC |
| Practice Address |
77 E Weldon Ave Ste 210 Phoenix AZ 85012-2380 |
| Mailing Address |
3620 N 3rd St Phoenix AZ 85012-2020 |
| Practice Telephone | 6022307373 |
| Practice Fax Number | 6027612537 |
| Mailing Telephone | 6022307373 |
| Mailing Fax Number | 6026827455 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
17054 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3620 N 3rd St, Phoenix, AZ 850122020 | 6022307373 | 6026827455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609288240 | Samuel Thomas Le Roy Taylor | Social Worker | 4500 Cherry Creek Drive S., Suit 940, Denver, CO 80246 | 2014-06-02 |
| 1720218266 | Samuel Irving Taylor IIi | Residential Treatment Facility, Emotionally Disturbed Children | 581 63rd St, Oakland, CA 94609-1244 | 2009-07-17 |
| 1477683787 | Samuel E Taylor | Dentist | 9795 Ravenna Rd, Twinsburg, OH 44087 | 2007-03-06 |
| 1164436788 | Samuel Taylor | Obstetrics & Gynecology | 677 Church St Ne # 125, Marietta, GA 30060 | 2006-07-28 |
| 1568491017 | Samuel Wayne Taylor Jr. | Ophthalmology | 500 Hargrove Rd E, Tuscaloosa, AL 35401-3751 | 2006-06-30 |
| 1326657669 | Samuel Marcus Taylor | Peer Specialist | 1501 Ne 11th St, Oklahoma City, OK 73117-2605 | 2020-07-22 |
| 1073051884 | Samuel Taylor | Nurse Anesthetist, Certified Registered | 1720 Louisiana Blvd Ne, Suite 401, Albuquerque, NM 87110-7022 | 2017-02-01 |
| 1710357025 | Samuel Paul Taylor | Counselor | 285 Vanderbilt Ave, Staten Island, NY 10304-2525 | 2015-09-29 |
| 1578963245 | Samuel Taylor | Dentist | 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 | 2014-08-29 |
| 1922393594 | Samuel H. Taylor | Psychologist | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2011-06-12 |
| Street Address |
77 E WELDON AVE STE 210 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1447863683 | Mindscape Wellness LLC | Counselor | 4545 N 36th St Ste 117, Phoenix, AZ 85018-3473 | 2020-08-27 |
| 1700496718 | Suma Hodge | Counselor | 2341 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-08-04 |
| 1992322127 | North Pointe Services | Counselor | 1807 W Sienna Bouquet Pl, Phoenix, AZ 85085-8042 | 2020-07-03 |
| 1023630308 | Mary Squires Moran | Counselor | 14040 N Cave Creek Rd Ste 205, Phoenix, AZ 85022-6179 | 2020-05-10 |
| 1467087106 | Omnipotent Health Services | Counselor | 3442 W Paradise Dr, Phoenix, AZ 85029-2239 | 2020-03-03 |
| 1124650536 | Erica Van Parys | Counselor | 3207 E Medlock Dr, Phoenix, AZ 85018-1426 | 2020-02-05 |
| 1790324556 | Amy Kathleen Engle | Counselor | 2432 W Peoria Ave Ste 1123, Phoenix, AZ 85029-4733 | 2019-12-26 |
| 1851934012 | Extinguishing Fear Life Coaching | Counselor | 4435 E Chandler Blvd, Phoenix, AZ 85048-7649 | 2019-10-21 |
| 1134761661 | Kerry Jean Ramella | Counselor | 809 W Maryland Ave, Phoenix, AZ 85013-1325 | 2019-10-16 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.