Active NPI
Taylere M Markewich, LP AND LMFT
- Psychologist
- New Paltz, NY
National Provider Identifier
1639790496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 022529-01
- Practice address
- 107 Dashville Rd
New Paltz, NY 12561-4510 - Phone
- (845) 658-2451
- NPI assigned
- May 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 022529-01 | NY | Primary |
Addresses
Primary practice location
107 Dashville Rd
New Paltz, NY 12561-4510
Mailing address
107 Dashville Rd
New Paltz, NY 12561-4510
Phone (845) 658-2451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 20, 2024 through Jun 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022529-01 | NY | MD | Psychologist |
| 022529 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1639790496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 DASHVILLE RD",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125614510",
"telephone_number": "845-658-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 DASHVILLE RD",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125614510",
"telephone_number": "845-658-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKEWICH",
"first_name": "TAYLERE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "LP AND LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-04",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "022529-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Paltz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.