DR. EDWARD CALHOUN TAYLOR (NPI# 1962568394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962568394 |
| Entity Type | Individual |
| Full Name | DR. EDWARD CALHOUN TAYLOR |
| Credential | PHD |
| Practice Address |
3750 San Jose Pl Suite 35 Jacksonville FL 32257-8858 |
| Mailing Address |
Po Box 189 Palatka FL 32178-0189 |
| Practice Telephone | 9048869006 |
| Practice Fax Number | 9048864060 |
| Mailing Telephone | 9048869006 |
| Mailing Fax Number | 9048864060 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY3397 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437566247 | Edward De'mond Taylor | Driver | 7254 Cloverglen Dr, Dallas, TX 75249-1435 | 2014-07-14 |
| 1972887115 | Edward V Taylor Sr. | Counselor | 729 Ne 32nd St, Oklahoma City, OK 73105-7530 | 2011-10-06 |
| 1891009494 | Edward Newton Taylor | Internal Medicine | 605 7th Ave N, Saint Cloud, MN 56303-3526 | 2010-08-06 |
| 1598998015 | Edward Andrew Taylor | Pharmacist | 1160 16th St Ne, Hickory, NC 28601-4239 | 2009-09-01 |
| 1639204332 | Edward Taylor Jr. | Chore Provider | 3907 Odin Ave, Cincinnati, OH 45213-1925 | 2007-02-22 |
| 1013562800 | Edward William Taylor Sr. | Day Training/Habilitation Specialist | 1632 Route 38, Lumberton, NJ 08048-2923 | 2019-08-07 |
| 1205345550 | Edward Joseph Taylor | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2017-09-28 |
| 1841746773 | Edward Scott Taylor | Nurse Practitioner | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2016-08-31 |
| 1609231745 | Edward Taylor | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2015-12-16 |
| 1104117928 | Edward Eugene Taylor | Counselor | 1330 N Classen Blvd, Suite 110, Oklahoma City, OK 73106-6835 | 2011-04-27 |
| Street Address |
3750 SAN JOSE PL SUITE 35 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-8858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043656754 | Kerry Haffey Condit | Psychologist | 3750 San Jose Pl, Suite 35, Jacksonville, FL 32257-8858 | 2013-05-21 |
| 1548606247 | Edward C. Taylor, Phd. Pl | Psychologist | 3750 San Jose Pl, Suite 35, Jacksonville, FL 32257-8858 | 2013-05-21 |
| 1063733467 | Madeleine J Dunn | Psychologist | 3750 San Jose Pl, Suite 35, Jacksonville, FL 32257-8858 | 2010-06-20 |
| 1629192570 | Theodore Albert Lombardo | Psychologist | 3750 San Jose Pl, One San Jose Complex, Suite 35, Jacksonville, FL 32257-8858 | 2007-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447643648 | Carrie Lynn Cragun-atchison | Psychologist | 2720 Park St Ste 215, Jacksonville, FL 32205-7645 | 2015-03-12 |
| 1477954675 | Joanivette Rodriguez | Psychologist | 3451 Saland Way Apt 504, Jacksonville, FL 32246 | 2014-09-08 |
| 1790344489 | Vielka Haydee Mills | Psychologist | 7019 Mark St, Jacksonville, FL 32210-4889 | 2019-06-06 |
| 1760880165 | Lauren Timney | Psychologist | 11555 Central Pkwy, Suite 704, Jacksonville, FL 32224-2691 | 2014-12-17 |
| 1578999249 | Lynne Carroll | Psychologist | 13111 Atlantic Blvd, Suite 2, Jacksonville, FL 32225-6113 | 2013-09-25 |
| 1326470006 | Jennifer Lauren Weitzel | Psychologist | 555 Stockton St, Jacksonville, FL 32204-2534 | 2013-08-05 |
| 1033462163 | Positive Change Mental Health LLC | Psychologist | 3955 Riverside Ave, Suite 103, Jacksonville, FL 32205-3312 | 2012-10-26 |
| 1528317203 | Paul Daniel Knabb | Psychologist | 3955 Riverside Ave, Suite 103, Jacksonville, FL 32205-3312 | 2012-09-10 |
| 1326375197 | Melissa Stephanie Roffman | Psychologist | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 | 2009-11-16 |
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| 1992318380 | Dr Tina Goodin Enterprises Inc | Psychologist | Psychology Center of Palm Beach, 249 Royal Palm Way, Palm Beach, FL 33480 | 2020-08-26 |
| 1639781313 | I.s. Keino Miller I | Psychologist | 1704 Beechwood Cir N, Tallahassee, FL 32301-6765 | 2020-08-23 |
| 1699391029 | Claire Gordijn | Psychologist | 3426 Saddle Blvd, Orlando, FL 32826-3118 | 2020-06-22 |
| 1811519804 | Soul Search Studios | Psychologist | 14360 Marrian Ave, Jupiter, FL 33458-6753 | 2020-05-12 |
| 1548894058 | Magali Rodriguez | Psychologist | 191 W Grossenbacher Dr, Apopka, FL 32712-7031 | 2020-02-24 |
| 1497387211 | Nida Aziz | Psychologist | 6885 B-5 Sw 18th St, Boca Raton, FL 33433 | 2020-02-10 |
| 1578194312 | Daniel Luke Fioramonti | Psychologist | 2940 E Park Ave Ste 2c, Tallahassee, FL 32301-3446 | 2020-01-30 |
| 1902445687 | Recovery Bay, LLC | Psychologist | 9721 Thomas Dr, Panama City Beach, FL 32408-3811 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
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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.