Jeffrey Daniel Tabbert, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

192245 Issued in NY

Practice address

1 Pinnacle PL
Suite 102
Albany, NY 12203-3496

Phone

(518) 689-0244

Fax

(518) 689-0241

NPI assigned

Sep 23, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph Ippolito

  dba Pinnacle Behavioral Health, IPA, LLC

  • Clinical Social Worker
  • Albany, NY
  • NPI 1720490949
  NPD (past)
• Pinnacle Behavioral Health

  • Clinical Social Worker
  • Albany, NY
  • NPI 1346467529
  NPD (past)
• Pinnacle Behavioral Health Ipa PLLC

  • Mental Health Counselor
  • Albany, NY
  • NPI 1447276720
  NPD (past)
• Saratoga Psychiatric and Associated Services PC

  dba Bick Wanck MD and Associates

  • Psychiatry Physician
  • Saratoga Springs, NY
  • NPI 1245414168
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235260800000",
    "number": "1144470576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PINNACLE PL",
            "address_2": "SUITE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033496",
            "telephone_number": "518-689-0244",
            "fax_number": "518-689-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINNACLE PL",
            "address_2": "SUITE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033496",
            "telephone_number": "518-689-0244",
            "fax_number": "518-689-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABBERT",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2009-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "192245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CC1930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Marie Szczawinski, RD LD CDN
• Christopher Szczesniak, PA-C
• Gina Szesnat, RN
• Jacqueline Ellen Szesnat, PHARMD, RPH
• Emily Tabb
• Karyn Taber, LCSW
• Tara Nicole Taber
• Amy Taft
• Edwin Taft, M.D.
• Karen Taft, RPA

• Psychiatry Physician in Albany, NY
• Providers in Albany, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.