LEWIS JEROME III TAYLOR (PHD) – Clinical Psychologist, NPI 1609839596

LEWIS JEROME III TAYLOR (PHD) is a healthcare provider. based in Norfolk, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 0810001309 (VA). The NPI Number for LEWIS JEROME III TAYLOR (PHD) is 1609839596

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
LEWIS JEROME III TAYLOR (PHD)
NPI
1609839596
Phone
(757) 587-4744
Address
1500 E LITTLE CREEK ROAD
Enumeration Date
11 April 2006
Last Update Date
21 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7575874744
Graduation Year
1980 (46 years ago)
PAC ID
2163481078
Group Practice PAC ID
9739070780
Professional Enrollment ID
I20041014000143
Address ID
VA235184137NO1500XRDXX502
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in VA

Loading map...

Provider Addresses for LEWIS JEROME III TAYLOR (PHD)

  • 1500, East Little Creek Road, Bel-Aire, Forest Park, Norfolk, Virginia, 23518, United States

    SUITE 205

    NORFOLK, VA 23518

    Phone: (757) 587-4744

    Fax: (757) 587-4947

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2004-10-14

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
I20041014000143IClinical PsychologistVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes15026$0
90791Psychiatric diagnostic evaluation3837$0
View full utilization report →

Insurance plans in this area (ZIP 23518)

Loading plans...

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: 9739070780View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify LEWIS JEROME III TAYLOR (PHD) with an NPI only?
You can start verification with NPI 1609839596 for LEWIS JEROME III TAYLOR (PHD), then check state licensing separately.
Is LEWIS JEROME III TAYLOR (PHD) listed as active for patients and plans?
The listing shows LEWIS JEROME III TAYLOR (PHD) as active in the NPI system.
What taxonomy line describes LEWIS JEROME III TAYLOR (PHD)?
For research purposes, treat LEWIS JEROME III TAYLOR (PHD) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What area does LEWIS JEROME III TAYLOR (PHD) serve?
LEWIS JEROME III TAYLOR (PHD)'s listing highlights Norfolk, Virginia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

DR. IRA HAYM PEARLMAN (PH.D.)

Clinical Psychologist
Colley Avenue, Norfolk, Virginia, 23508, United States
NPI: 1447253695
1709, Colley Avenue, Norfolk, Virginia, 23517, United States
NPI: 1316947328

DR. ACE LEONARD JR. TUBBS (PHD)

Clinical Psychologist
1560, Bordeaux Place, Lafayette Shores, Norfolk, Virginia, 23509, United States
NPI: 1841273273

Unknown Individual

Clinical Psychologist
PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom
NPI: 1740250091

DR. JOHN D. BALL (PH.D.)

Clinical Neuropsychologist
PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom
NPI: 1568433365
620 John Paul Jones Cir
NPI: 1851362362

PROF. BARBARA ANN CUBIC (PHD)

Cognitive & Behavioral Psychologist
PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom
NPI: 1366415176
620 JOHN PAUL JONES CIR
NPI: 1649244542
721 FAIRFAX AVE FL 4
NPI: 1962477554