Tdat Transitional Development and Training

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

TDAT TRANSITIONAL DEVELOPMENT AND TRAINING

Practice address

70 Lincoln Blvd
Bridgeport, CT 06606-5550

Phone

(203) 650-4681

NPI assigned

Feb 7, 2012

Last updated

Feb 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Toshirea Jackson

Title

Partner/Owner

Phone

(203) 650-4681

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madeline Mazariegos, LCSW

  • Clinical Social Worker
  • Bridgeport, CT
  • NPI 1982937256
  NPD (past)

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1669744611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LINCOLN BLVD",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065550",
            "telephone_number": "203-650-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LINCOLN BLVD",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065550",
            "telephone_number": "203-650-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDAT TRANSITIONAL DEVELOPMENT AND TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TOSHIREA",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "203-650-4681"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Taylor
• Hope Taylor, LPC
• Jessica Taylor, LCSW
• Kevin Arthur Taylor, D.M.D.
• Melody Taylor, LPN
• Tee-Pee Dentistry P.C.
• Christina Teixeira, LPC-A
• Melissa Teixeira
• Jacquelyn Temelsiz, LMFT
• Edison Tenecela, MD

• Neurology Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Neurology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.