DR. COLLEEN TAYLOR PHD
NPI 1609500719
Psychologist - Clinical in Lawrenceville, GA
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 and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses
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.
Secondary Practice Location 1
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609500719, enumerated as an "individual" on July 13, 2022.
The provider is located at 1805 HERRINGTON RD STE B LAWRENCEVILLE, GA 30043 and the phone number is (770) 299-9295.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
