Active NPI
Yulia Maria Tamayo, ED.S.
- School Psychologist
- Gainesville, FL
National Provider Identifier
1801349766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS1238
- Practice address
- 4131 NW 28TH LN Ste 3a
Gainesville, FL 32606-6665 - Phone
- (352) 374-7155
- NPI assigned
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| School Psychologist | 103TS0200X | SS1238 | FL | Primary |
Addresses
Primary practice location
4131 NW 28TH LN Ste 3a
Gainesville, FL 32606-6665
Mailing address
4019 NW 34TH Ter
Gainesville, FL 32605-1498
Phone (352) 374-7155
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 |
|---|---|---|---|
| SS1238 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1801349766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4019 NW 34TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326051498",
"telephone_number": "352-374-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 NW 28TH LN STE 3A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066665",
"telephone_number": "352-374-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMAYO",
"first_name": "YULIA",
"middle_name": "MARIA",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.