Timothy Blandford

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0266L01 Issued in NY

Practice address

1149 Sullivan St
Elmira, NY 14901

Phone

(607) 733-7661

Fax

(607) 733-7675

NPI assigned

Mar 31, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1831621572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 SULLIVAN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011670",
            "telephone_number": "607-733-7661",
            "fax_number": "607-733-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 SULLIVAN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14901",
            "telephone_number": "607-733-7661",
            "fax_number": "607-733-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDFORD",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "0266L01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Elmira, NY
• Providers in Elmira, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.