Organization Active NPI

Taylormayd, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Bronx, NY
National Provider Identifier
1346379856
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
TAYLORMAYD, INC.
Practice address
51 Westchester SQ
Bronx, NY 10461-3526
Phone
(718) 829-3617
Fax
(718) 829-2997
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michelle Bullock, B.S. CASAC-T
Title
Program Director
Phone
(718) 829-3617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X NY Primary

Addresses

Primary practice location

51 Westchester SQ
Bronx, NY 10461-3526

Mailing address

51 Westchester SQ
Bronx, NY 10461-3526
Phone (718) 829-3617

National Provider Directory

National Provider Directory

Locations

51 Westchester Sq
Bronx, NY 10461
Phone (718) 829-3617

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346379856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WESTCHESTER SQ",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613526",
            "telephone_number": "718-829-3617",
            "fax_number": "718-829-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WESTCHESTER SQ",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613526",
            "telephone_number": "718-829-3617",
            "fax_number": "718-829-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORMAYD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "718-829-3617",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S. CASAC-T"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.