Active NPI
Tanya Bates, B.A./CASAC-T/NYSCNA
- Voluntary or Charitable Agency
- Wyandanch, NY
National Provider Identifier
1437376928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Practice address
- 15 S 27TH St
Wyandanch, NY 11798-3705 - Phone
- (347) 650-8233
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NY | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NY | ||
| Contractor | 171W00000X | 342004610703E | NY | |
| Voluntary or Charitable Agency | 251V00000X | NY | Primary | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 342004610703E | NY |
Addresses
Primary practice location
15 S 27TH St
Wyandanch, NY 11798-3705
Mailing address
15 South 27TH Street
Wyandanch, NY 11799-0000
Phone (334) 765-0823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342004610703E | Other | NY | NYS-CNA, HHA |
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)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342004610703E | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1437376928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SOUTH 27TH STREET",
"city": "WYANDANCH",
"state": "NY",
"postal_code": "117990000",
"telephone_number": "334-765-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S 27TH ST",
"city": "WYANDANCH",
"state": "NY",
"postal_code": "117983705",
"telephone_number": "347-650-8233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "TANYA",
"credential": "B.A./CASAC-T/NYSCNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "342004610703E",
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "342004610703E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS-CNA, HHA",
"identifier": "342004610703E",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyandanch, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.