TAYLOR PSYCHOLOGICAL INNOVATORS INC. (NPI# 1811487598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811487598 |
| Entity Type | Organization |
| Organization Name | TAYLOR PSYCHOLOGICAL INNOVATORS INC. |
| Practice Address |
44 Visitacion Ave Ste 103 Brisbane CA 94005-1575 |
| Practice Telephone | 8313501332 |
| Mailing Telephone | 4155089290 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | DR. ENNA EMPERATRIZ TAYLOR (CEO) |
| Authorized Official Telephone | 4155089290 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
29272 | CA | Ambulatory Health Care Facilities |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY29272 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Old Bayshore Hwy Ste 154, Burlingame, CA 940101506 | 8313501332 | 4086380578 |
| Street Address |
44 VISITACION AVE STE 103 |
| City | BRISBANE |
| State | CA |
| Zip Code | 94005-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951402 | Enna Emperatriz Taylor | Psychologist | 44 Visitacion Ave Ste 103, Brisbane, CA 94005-1575 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588874028 | James E. Fitzgerald, Dds Inc | Clinic/Center | 100 Old County Road, Ste 100b, Brisbane, CA 94005 | 2007-05-23 |
| 1598973190 | Barry Michael Sherman | Internal Medicine | Bipar Science, Inc., 1000 Marina Blvd., Suite 550, Brisbane, CA 94005 | 2007-05-18 |
| 1396882353 | Sadna G Patel | Counselor | 415 Swallowtail Court, Brisbane, CA 94005 | 2007-01-31 |
| 1689607384 | Care Dx, Inc. | Clinical Medical Laboratory | 3260 Bayshore Blvd, Brisbane, CA 94005 | 2006-07-08 |
| 1639233133 | Frank L Fay | Dentist | 1405 Huntington Avenue, #217, South San Francisco, CA 94005 | 2006-12-20 |
| 1922386523 | Focus Surgical | Durable Medical Equipment & Medical Supplies | 100 N Hill Dr, Suite 43, Brisbane, CA 94005-1017 | 2011-07-30 |
| 1508127176 | Robert Stephen Fishman | Internal Medicine | 3280 Bayshore Blvd, Brisbane, CA 94005-1021 | 2012-05-31 |
| 1073754081 | Judith Wilber | Pathology | 3260 Bayshore Blvd, Brisbane, CA 94005-1021 | 2009-03-20 |
| 1073146841 | Kit Bio | Clinical Medical Laboratory | 150 N Hill Dr Ste 10, Brisbane, CA 94005-1023 | 2020-02-19 |
| 1427580109 | Oncocyte, Corporation | Clinical Medical Laboratory | 150 N Hill Dr Ste 14, Brisbane, CA 94005-1023 | 2017-03-31 |
| Find all providers in zip 94005 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
| 1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
| 1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
| 1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
| 1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
| 1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
| Find all providers with the same taxonomy | ||||
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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.