Tay Garnett Gaines, M.D.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

ME55707 Issued in FL

Practice address

1914 37TH St
West Palm Beach, FL 33407-3506

Phone

(561) 845-0974

Fax

(561) 840-6525

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Standard of Care LLC

  • Substance Abuse Rehabilitation Facility
  • North Palm Beach, FL
  • NPI 1932739802
  Medicare reassignment NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1174539068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 37TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073506",
            "telephone_number": "561-845-0974",
            "fax_number": "561-840-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 37TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073506",
            "telephone_number": "561-845-0974",
            "fax_number": "561-840-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "TAY",
        "middle_name": "GARNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME55707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "09812W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Emile Gagnon, LMHC
• Duneeta Gagraj, CRT
• Gail Shasha Rnfa
• Jared Gaines, M.D.
• Shonricka Gaines, RN
• Taylor Everrett Gaines, PHARM.D.
• Isenia Gainza Lopez
• Elizabeth Gaitan, LCSW
• Monica Gaitan
• Mirta R Galante, M.D.

• Addiction Psychiatry Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Addiction Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.