Individual provider Active NPI

Joan Ehrenreich Tananbaum, LMHC

  • Mental Health Counselor
  • Mount Vernon, NY
National Provider Identifier
1710064399
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000971 Issued in NY
Practice address
25 Broad St E
Mount Vernon, NY 10552-2207
Phone
(914) 844-0981
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000971 NY Primary

Addresses

Primary practice location

25 Broad St E
Mount Vernon, NY 10552-2207

Mailing address

415 Gramatan Ave
Apartment 6a
Mount Vernon, NY 10552-2930
Phone (914) 844-0981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710064399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GRAMATAN AVE",
            "address_2": "APARTMENT 6A",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522930",
            "telephone_number": "914-844-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BROAD ST E",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522207",
            "telephone_number": "914-844-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANANBAUM",
        "first_name": "JOAN",
        "middle_name": "EHRENREICH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • 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.