Andrew Ober Taylor, LCSW R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R045640 Issued in NY

Practice address

145 East 2ND Street
Corning, NY 14850

Phone

(607) 936-9090

Fax

(607) 936-8159

NPI assigned

Sep 7, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649373002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 EAST 2ND STREET",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-936-9090",
            "fax_number": "607-936-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 EAST 2ND STREET",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-936-9090",
            "fax_number": "607-936-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANDREW",
        "middle_name": "OBER",
        "name_prefix": "Mr.",
        "credential": "LCSW R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R045640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7339624",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS EMPIRE PLAN",
            "identifier": "138267",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mala V Sutton, MD
• Matthew Thomas Swearingen, D.C.
• Brianne Marie Symonds, FNP
• Kathryn Elizabeth Tatar, PA-C
• Mireille Taufik, MD
• Orbin Tercero, RPH
• Meri Lyn Terwilliger, CCC-SLP
• Venugopal Thirumurti, MD
• Amy S Thomas, M.ED.
• Martha Thompson

• Mental Health Counselor in Corning, NY
• Providers in Corning, 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 Jul 8, 2007; 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.