Tay Gaines LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

ME55707 Issued in FL

Legal business name

TAY GAINES LLC

Doing business as

Tay Gaines MD

Practice address

4152 Blue Heron Blvd W
Suite 123
Riviera Beach, FL 33404-4811

Phone

(561) 844-7699

Fax

(561) 842-8215

NPI assigned

Jul 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tay Garnett Gaines, M.D.

Title

President/Member

Phone

(561) 844-7699

Specialties & licenses 1

Addresses

Other names 1

• Tay Gaines MD Doing business as

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1295991107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 BLUE HERON BLVD W",
            "address_2": "SUITE 123",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334044811",
            "telephone_number": "561-844-7699",
            "fax_number": "561-842-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 BLUE HERON BLVD W",
            "address_2": "SUITE 123",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334044811",
            "telephone_number": "561-844-7699",
            "fax_number": "561-842-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAY GAINES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "TAY",
        "authorized_official_middle_name": "GARNETT",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "561-844-7699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "ME55707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tay Gaines MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daisy Tam-Wong
• Pamela Nicole Tambini, M.D.
• Alvin Tan, PHARMD
• Paul Tashjian, RPH
• Fredlyne Tassy
• Barbara Flowers Telan, RNFA
• Dana Faith Tenenbaum, RN
• Mia Terrazas
• The Arc of Palm Beach County, Inc.
• The Counseling Center Inc

• Adult Mental Health Clinic/Center in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Adult Mental Health Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.