Active NPI
Thomas Andrew Tanchick, MSW
- Social Worker
- Lyons, NY
National Provider Identifier
1770615874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72074441
- Practice address
- 1519 Nye Road
Wayne Behavioral Health Network
Lyons, NY 14489 - Phone
- (315) 946-5722
- Fax
- (315) 946-7066
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 72074441 | NY | Primary |
Addresses
Primary practice location
1519 Nye Road
Wayne Behavioral Health Network
Lyons, NY 14489
Mailing address
287 Thornell Rd
Pittsford, NY 14534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02249154 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72074441 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770615874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 THORNELL RD",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "14534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 NYE ROAD",
"address_2": "WAYNE BEHAVIORAL HEALTH NETWORK",
"city": "LYONS",
"state": "NY",
"postal_code": "14489",
"telephone_number": "315-946-5722",
"fax_number": "315-946-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANCHICK",
"first_name": "THOMAS",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72074441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02249154",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lyons, 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.