Individual provider Active NPI

Tanner Robbins

  • Marriage & Family Therapist
  • Sayville, NY
National Provider Identifier
1285338699
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
P116749 Issued in NY
Practice address
23 Candee Ave
Sayville, NY 11782-3055
Phone
(631) 629-2250
NPI assigned
Mar 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X P116749 NY Primary

Addresses

Primary practice location

23 Candee Ave
Sayville, NY 11782-3055

Mailing address

23 Candee Ave
Sayville, NY 11782-3055
Phone (631) 629-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120001513 NY Practitioner - Marriage and Family Therapist 0941735518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suffolk Counseling ServicesGroup PAC ID 1355603259, 13 clinicians

Practice addresses (Care Compare)

23 Candee Ave
Sayville, NY 11782-3055
Phone (631) 629-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P116749NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Counseling Services CurrentSince Aug 26, 2024 Accepting new patients

Locations

23 Candee Ave
Sayville, NY 11782
Phone (631) 629-2250

119 W Main St
Smithtown, NY 11787

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1285338699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CANDEE AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823055",
            "telephone_number": "631-629-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CANDEE AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823055",
            "telephone_number": "631-629-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "TANNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P116749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

Verify at the official NPI Registry.