DR. DAWN MARIE TAYLOR (PSYD, LP) – Cognitive & Behavioral Psychologist, NPI 1962501882

DR. DAWN MARIE TAYLOR (PSYD, LP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD, LP. They hold a License No. LP4561 (MN). The NPI Number for DR. DAWN MARIE TAYLOR (PSYD, LP) is 1962501882

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAWN MARIE TAYLOR (PSYD, LP)
NPI
1962501882
Phone
(952) 993-6200
Address
6465 WAZATA BLVD.
Enumeration Date
21 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529931990
Graduation Year
2003 (23 years ago)
PAC ID
9739189234
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20070108000127
Address ID
MN554165275ST3525XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for DR. DAWN MARIE TAYLOR (PSYD, LP)

  • 6465 WAZATA BLVD.

    SUITE 315

    MINNEAPOLIS, MN 55426

    Phone: (952) 993-6200

    Type: Mailing

  • 6490, Excelsior Boulevard, Brooklawns, Saint Louis Park, Hennepin County, Minnesota, 55426, United States

    SUITE W505

    ST. LOUIS PARK, MN 55426

    Phone: (952) 993-6200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070108000127IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55426)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is the standard ID for DR. DAWN MARIE TAYLOR (PSYD, LP) in the U.S.?
In the U.S., DR. DAWN MARIE TAYLOR (PSYD, LP) is identified by NPI 1962501882.
Quick check: is DR. DAWN MARIE TAYLOR (PSYD, LP) active?
Public NPPES data shows DR. DAWN MARIE TAYLOR (PSYD, LP) with an active NPI status right now.
What does the directory say DR. DAWN MARIE TAYLOR (PSYD, LP) does?
Insurance directories may phrase it differently, but here DR. DAWN MARIE TAYLOR (PSYD, LP) maps to Cognitive & Behavioral Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DAWN MARIE TAYLOR (PSYD, LP)?
DR. DAWN MARIE TAYLOR (PSYD, LP) shows a connection to Minneapolis, Minnesota in registry-derived data.
Who maintains DR. DAWN MARIE TAYLOR (PSYD, LP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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