EVELYN TAYLOR-CLARK (NPI# 1336532811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336532811 |
| Entity Type | Individual |
| Full Name | EVELYN TAYLOR-CLARK |
| Practice Address |
8220 S San Pedro St Los Angeles CA 90003-3030 |
| Mailing Address |
8220 S San Pedro St Los Angeles CA 90003 |
| Practice Telephone | 3235652376 |
| Mailing Telephone | 3235652376 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
8220 S SAN PEDRO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90003-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114052818 | Tenika Louise Jackson | Psychologist | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2007-02-22 |
| 1811526262 | Elisabet Medina | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2020-04-07 |
| 1265073316 | Sherrion Rasco | Social Worker | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-09-30 |
| 1144870130 | Riana Bell | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-09-12 |
| 1578118220 | Ayanna Monique Brown | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-08-08 |
| 1710539218 | Jasmine Rose | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-07-15 |
| 1902467681 | Tiiunique Turner | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-06-24 |
| 1104383991 | Nicole Hymes | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-02-27 |
| 1114483724 | Shelbie M Jackson | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-02-19 |
| 1548724453 | Amber Nicole Tellez | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780227207 | Herminia E Galvez | Counselor | 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 | 2019-10-28 |
| 1720567548 | Banty Dental Corporation | Clinic/Center | 5971 S Main Street, Los Angeles, CA 90003 | 2018-08-13 |
| 1932623030 | Mireya Melendez | Case Manager/Care Coordinator | 5849 Crocker Street Unit L, Los Angeles, CA 90003 | 2017-07-31 |
| 1356865810 | Oscar Montes Jr. | Social Worker | 8220 San Pedro St., Los Angeles, CA 90003 | 2017-07-26 |
| 1619407483 | Tonja Benetta Jordan | Registered Nurse | 5850 South Main St, Los Angeles, CA 90003 | 2017-06-14 |
| 1194254581 | Janae Wilson Shepherd | Registered Nurse | 5850 S Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1649709049 | Eisha Eishawndra Purvis | Registered Nurse | 5850 S. Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1689022477 | Ladan Hariri | Psychiatry & Neurology | 1200 N.state St., Los Angeles, CA 90003 | 2016-06-02 |
| 1811330772 | David Chavez | Dental Assistant | 358 East 76st, Los Angeles, CA 90003 | 2013-04-10 |
| Find all providers in zip 90003 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913055 | Jose Islas | Counselor | 4396 1/2 Lovett St, Los Angeles, CA 90023-4117 | 2020-08-19 |
| 1154931491 | Delia Maria Cortez | Counselor | 12133 Clarkson Rd, Los Angeles, CA 90064-3519 | 2020-08-02 |
| 1457974263 | Simeon Simov | Counselor | 11845 W Olympic Blvd # 815e, Los Angeles, CA 90064-1149 | 2020-05-27 |
| 1780206524 | Keisha Whitfield | Counselor | 1123 W 7th St # 25, Los Angeles, CA 90017-2409 | 2020-05-14 |
| 1467073965 | Flowlab Inc | Counselor | 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 | 2020-05-06 |
| 1619504925 | Tanisha N Tatum | Counselor | 5777 W Century Blvd # 11102035, Los Angeles, CA 90045-5600 | 2020-03-25 |
| 1083241988 | Rezolve Telemed | Counselor | 8275 Kirkwood Dr, Los Angeles, CA 90046-1923 | 2020-03-23 |
| 1902439656 | Maria Velazquez | Counselor | 5318 S Crenshaw Blvd, Los Angeles, CA 90043-1810 | 2020-02-20 |
| 1922647569 | Ping Sun | Counselor | 520 S Sepulveda Blvd Ste 200, Los Angeles, CA 90049-3534 | 2019-12-30 |
| 1780233213 | Rafael Martin Perez | Counselor | 5955 Hooper Ave Apt A, Los Angeles, CA 90001-1292 | 2019-09-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90003 |
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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.