DR. JERRAL DEWAYNE TAYLOR (NPI# 1588648059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588648059 |
| Entity Type | Individual |
| Full Name | DR. JERRAL DEWAYNE TAYLOR |
| Other Name | DR. J. DEWAYNE TAYLOR |
| Credential | PHD |
| Practice Address |
8441 Riverside Parkway Clinical Building 1, Suite 1100 Bryan TX 77807 |
| Mailing Address |
8912 Granbury Hwy Weatherford TX 76087-5215 |
| Practice Telephone | 9794360700 |
| Practice Fax Number | 9794360062 |
| Mailing Telephone | 9792553367 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2-3652 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | P000B40A2 | 05 |
| Street Address |
8441 RIVERSIDE PARKWAY CLINICAL BUILDING 1, SUITE 1100 |
| City | BRYAN |
| State | TX |
| Zip Code | 77807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918700 | Texas A&m University System Health Science Center | Nursing Care | 8441 Riverside Parkway, Ms 1359, Bryan, TX 77807 | 2020-06-26 |
| 1285255919 | Namrata Nanavaty | Psychologist | 8441 Riverside Parkway, Bryan, TX 77807 | 2020-05-05 |
| 1639259088 | John M Hettema | Psychiatry & Neurology | 8441 Riverside Parkway, Cb1, Suite 1100, Bryan, TX 77807 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982298 | Kaylee Jackson | Psychologist | 8441 Hwy 47, St 1100, Bryan, TX 77807 | 2020-05-05 |
| 1457972192 | Melina Renee Cavazos | Psychologist | 8441 Highway 47, Clinical Building 1, Suite 1100, Bryan, TX 77807 | 2020-05-05 |
| 1891324448 | Radhika Shah | Student in an Organized Health Care Education/Training Program | 8447 Riverside Pkwy, Bryan, TX 77807 | 2020-04-06 |
| 1457332959 | Robert Andrew Harper | Psychiatry & Neurology | 8441 Riverside Pkwy, Cb1, Suite 1400, Bryan, TX 77807 | 2005-11-10 |
| 1801422571 | Emily Kirsten Haque | Student in an Organized Health Care Education/Training Program | 8447 Riverside Parkway, 3081 Health Professions Education Building, Bryan, TX 77807 | 2020-03-13 |
| 1447885991 | Carly Elizabeth Mccord | Psychologist | 8441 Riverside Pkwy, Cb 1, Suite 1100, Bryan, TX 77807 | 2020-03-05 |
| 1336389782 | Whole Vision Pa | Optometrist | 643 N Harvey Mitchell Pkwy, Bryan, TX 77807-1012 | 2009-02-25 |
| 1023620192 | Nancy Gadelsayed | Pharmacist | 643 N Harvey Mitchell Pkwy, Bryan, TX 77807-1012 | 2020-08-20 |
| 1255755393 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 643 N Harvey Mitchell Pkwy, Bryan, TX 77807-1012 | 2014-02-10 |
| 1760806806 | Wal-mart Stores Texas, LLC | Technician/Technologist | 643 N Harvey Mitchell Pkwy, Bryan, TX 77807-1012 | 2014-02-10 |
| Find all providers in zip 77807 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982298 | Kaylee Jackson | Psychologist | 8441 Hwy 47, St 1100, Bryan, TX 77807 | 2020-05-05 |
| 1457972192 | Melina Renee Cavazos | Psychologist | 8441 Highway 47, Clinical Building 1, Suite 1100, Bryan, TX 77807 | 2020-05-05 |
| 1003468182 | Ryan Frank Pittsinger | Psychologist | 211 N Main St Apt 23, Bryan, TX 77803-3277 | 2019-07-10 |
| 1891202917 | Kim Villabona, Psy.d | Psychologist | 405 E 31st St, Bryan, TX 77803-7027 | 2018-01-10 |
| 1235592296 | Lamb Behavioral Health Center LLC | Psychologist | 1737 Briarcrest Dr Ste 24, Bryan, TX 77802-2769 | 2016-03-29 |
| 1720413321 | Jun-chih Gisela Lin | Psychologist | 1401 Sandia Plz, Bryan, TX 77802-4356 | 2013-09-13 |
| 1639458284 | Kim Villabona | Psychologist | 2908 Woodmeadow Dr, Bryan, TX 77802-4769 | 2011-08-15 |
| 1699805929 | Bradley Douglas Powell | Psychologist | 2400 Broadmoor Dr Ste C, Bryan, TX 77802-2870 | 2007-03-06 |
| 1831295864 | Kim Marie Arredondo | Psychologist | 704 E 29th St Ste B, Bryan, TX 77803-4898 | 2006-09-16 |
| 1073618062 | Nancy E Algert | Psychologist | 115 Royal Street, Bryan, TX 77801 | 2006-09-14 |
| Find all providers in BRYAN | ||||
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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.