Bryan Telfair

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Practice address

3603 Dartford Dr
Greensboro, NC 27407-7551

Phone

(336) 689-0374

NPI assigned

Dec 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Horizons Professional Services Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Greensboro, NC
  • NPI 1730851015
  NPD Authorized official

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1457947541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 ASHBROOK CIR",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272633840",
            "telephone_number": "336-633-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 DARTFORD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077551",
            "telephone_number": "336-689-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELFAIR",
        "first_name": "BRYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Kay Tebben, RN-C, PNP
• John Paul Teer, LCSW
• Debra Jennings Teeters, DMD
• Amber Marie Teffeau
• Rebecca Tefft, COTA/L
• Mackenzie Simone Telfaire
• Erika Tellez
• Randel Keith Temples, CRNA
• Amy Bryant Templeton, LPT
• Tender Hands for Senior Care, LLC (Senior Helpers)

• Adolescent and Children Mental Health Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.