DR. NICHOLAS DALE TAYLOR PH.D. - NPI 1447669874

Q: What is Nicholas Taylor's NPI number?

The NPI number for Nicholas Taylor is 1447669874. It was assigned to this individual provider in the NPPES registry on August 11, 2014.

Q: What is Nicholas Taylor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: Is Nicholas Taylor enrolled in Medicare?

No. Nicholas Taylor has opted out of Medicare through December 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Taylor was last updated on October 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Nicholas Dale Taylor Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS DALE TAYLOR PH.D. (NPI 1447669874) is an individual clinical child & adolescent provider in Austin, Texas, licensed in Texas (38203) and active in the NPI registry since August 2014. He has opted out of Medicare through December 1, 2027.

NPPES Registry Identity

NPI1447669874

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. NICHOLAS DALE TAYLORCredential: PH.D.

Location Address8701 SHOAL CREEK BLVD STE 404Austin, TX 78757-6809

Mailing Address8701 Shoal Creek Blvd Ste 404Austin, TX 78757-6809 · (513) 813-0640

Phone(513) 813-0640

Sole ProprietorNo

Enumeration DateAugust 11, 2014

Last NPPES UpdateOctober 22, 20222 updates tracked since enumeration

NPPES CertifiedOctober 22, 2022

✔ NPI 1447669874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in TX · 38203

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8701 SHOAL CREEK BLVD STE 404, Austin, TX 78757

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Other Identifiers 1

Other38203TX · State Psychology Practice License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nicholas Dale Taylor Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 1, 2025 through December 1, 2027.

Opt-Out Effective DateDecember 1, 2025

Opt-Out In Effect ThroughDecember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANNA GREESON PH.D.

Counselor (Mental Health)