Tai C Slyne, DNP,ARNP, FNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

035125-23 Issued in NH

Practice address

75 Gilcreast Rd Unit 210
Londonderry, NH 03053-3566

Phone

(603) 305-7076

Fax

(888) 271-7687

NPI assigned

Sep 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amodeus Healthcare & Psychiatry SVS LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Londonderry, NH
  • NPI 1871239509
  Medicare reassignment Authorized official
• Catholic Medical Center

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1265487755
  Medicare reassignment NPD
• Catholic Medical Center

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  NPD

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1740475524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GILCREAST RD UNIT 210",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533566",
            "telephone_number": "603-305-7076",
            "fax_number": "888-271-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GILCREAST RD UNIT 210",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533566",
            "telephone_number": "603-305-7076",
            "fax_number": "888-271-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLYNE",
        "first_name": "TAI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DNP,ARNP, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "F0607217",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "035125-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30346494",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3145302",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073168",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "privacy@luminello.com",
            "affiliation": "N",
            "endpointDescription": "Cloud Based EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26 Tokanel Dr",
            "city": "Londonderry",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030533539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "healthrecords@patientfusion.com",
            "affiliation": "N",
            "endpointDescription": "Cloud based EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26 Tokanel Dr",
            "city": "Londonderry",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030533539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shrijicare LLC
• Kaitlyn Simoneau
• Simply Dental of Londonderry Miles of Smiles
• Stacie Siwik, LICSW
• Shelley Ann Slavoski, OTR/L
• Trevor Smart, D.M.D
• Dawn Smith, RRT
• Vincent G Smith, PH.D.
• SNH Therapeutics LLC
• Julia Sorrell

• Psychiatric/Mental Health Nurse Practitioner in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.