Healthcare Provider Details

I. General information

NPI: 1487304325
Provider Name (Legal Business Name): SAPPHIRE HEALTH PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5970 FAIRVIEW RD STE 414
CHARLOTTE NC
28210-3179
US

IV. Provider business mailing address

5970 FAIRVIEW RD STE 414
CHARLOTTE NC
28210-3179
US

V. Phone/Fax

Practice location:
  • Phone: 980-220-2438
  • Fax:
Mailing address:
  • Phone: 980-220-2438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIN KATHLEEN TAYLOR
Title or Position: PSYCHOLOGIST/OWNER
Credential: PH.D.
Phone: 980-220-2438