Dr. Brent Taylor, Ph.D.
Marriage & Family Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1003034166
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003034166
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brent Taylor
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC37311 | CA | Yes |
Practice location
2423 Camino Del Rio S Ste 103San Diego, CA 92108-3734
Phone 619-594-3871
Mailing address
29520 Hyperion StMurrieta, CA 92563-2775
Phone 619-594-3871
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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