Vanessa Taboada

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006539 Issued in NY

Practice address

1727 N Ocean Ave
Medford, NY 11763-2649

Phone

(631) 654-1919

Fax

(631) 475-8407

NPI assigned

Apr 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1619364429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 N OCEAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632649",
            "telephone_number": "631-654-1919",
            "fax_number": "631-475-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 N OCEAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632649",
            "telephone_number": "631-654-1919",
            "fax_number": "631-475-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOADA",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "006539",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arvenia Swan, RN
• Marie Swiderski, LCSW
• Raymond Charles Swift III, LPN
• Lauren Swinton
• Maria Szczygiel
• Edmund Tam, RPH
• Hajar Taman
• Michael John Tamer Jr., PHARM D.
• Danielle Tanzi, LCSW
• Julie I Tavares

• Mental Health Counselor in Medford, NY
• Providers in Medford, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.