Individual provider Active NPI

Tremaine Ansel Sayles, LCSW, PSY.D

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1275621534
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077322 Issued in NY
Practice address
173 Huguenot St Ste 200
New Rochelle, NY 10801-7710
Phone
(646) 386-1527
Fax
(646) 956-1768
NPI assigned
Oct 11, 2006
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 064635 NY
Clinical Social Worker 1041C0700X 077322 NY Primary

Addresses

Primary practice location

173 Huguenot St Ste 200
New Rochelle, NY 10801-7710

Mailing address

173 Huguenot St Ste 200
New Rochelle, NY 10801-7710
Phone (646) 386-1527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077322NYMDClinical Social Worker
064635NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1275621534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 HUGUENOT ST STE 200",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017710",
            "telephone_number": "646-386-1527",
            "fax_number": "646-956-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 HUGUENOT ST STE 200",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017710",
            "telephone_number": "646-386-1527",
            "fax_number": "646-956-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLES",
        "first_name": "TREMAINE",
        "middle_name": "ANSEL",
        "name_prefix": "Dr.",
        "credential": "LCSW, PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "064635",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.