Eric Michael Taubert

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Practice address

258 Genesee St Ste 203
Utica, NY 13502-4636

Phone

(315) 335-1285

NPI assigned

Oct 17, 2023

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cny Mind & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Utica, NY
  • NPI 1811727613

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Cny Med Management

  • Child & Adolescent Psychiatry Physician
  • Utica, NY
  • NPI 1164297776
  NPD Authorized official

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1467234245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 STROUD ST",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130321425",
            "telephone_number": "315-335-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 GENESEE ST STE 203",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024636",
            "telephone_number": "315-335-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBERT",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Tanoury, LCSW-R
• Roozbeh Tarighati Rasekhi, MD
• Dana Tarnacki
• Joseph Tartaglia, PTA
• Victoria Paige Tasovac, PA-C
• Curry Taurisano, OTR/L
• Marena Leigh Taverne, OTR/L
• Kathryn A Taylor
• Leslie Elisabeth Taylor, MSED
• Sally Hollandt Taylor

• Multi-Specialty Clinic/Center in Utica, NY
• Providers in Utica, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.