DR. COLLEEN TAYLOR PHD
NPI 1609500719
Psychologist - Clinical in Lawrenceville, GA

Q: What is Colleen Taylor's NPI number?

The NPI number for Colleen Taylor is 1609500719. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Q: What is Colleen Taylor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Colleen Taylor enrolled in Medicare?

No. Colleen Taylor has opted out of Medicare through January 27, 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 Colleen Taylor was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 13, 2022Opted out of Medicare · through Jan 27, 2027

1805 HERRINGTON RD STE B, LAWRENCEVILLE, GA 30043(770) 299-9295 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Colleen Taylor Phd NPPES

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

DR. COLLEEN TAYLOR PHD (NPI 1609500719) is an individual clinical provider in Lawrenceville, Georgia, licensed in Georgia (001322) and active in the NPI registry since July 2022. She has opted out of Medicare through January 27, 2027.

NPPES Registry Identity

NPI1609500719

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. COLLEEN TAYLORCredential: PHD

Location Address1805 HERRINGTON RD STE BLawrenceville, GA 30043-7987

Mailing Address2015 Old Dominion RdSandy Springs, GA 30350-4620 · (404) 316-3654

Phone(770) 299-9295

Sole ProprietorYes

Enumeration DateJuly 13, 2022

NPPES CertifiedJuly 13, 2022

✔ NPI 1609500719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · 001322

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1805 HERRINGTON RD STE B, Lawrenceville, GA 30043

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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. Colleen Taylor Phd 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 January 27, 2023 through January 27, 2027.

Opt-Out Effective DateJanuary 27, 2023

Opt-Out In Effect ThroughJanuary 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Taylor's NPI number?

The NPI number for Colleen Taylor is 1609500719. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Colleen Taylor located?

Colleen Taylor practices at 1805 Herrington Rd Ste B, Lawrenceville, GA 30043. The listed phone number is (770) 299-9295.

What is Colleen Taylor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Colleen Taylor enrolled in Medicare?

No. Colleen Taylor has opted out of Medicare through January 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Colleen Taylor was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.