Kevin Andrew Tate, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4664-125 Issued in WI

Practice address

340 Village LN
Rochester, NY 14610-3045

Phone

(352) 871-3208

NPI assigned

Feb 6, 2014

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kevintate@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• Icf Consultants, Inc.

  • Marriage & Family Therapist
  • Milwaukee, WI
  • NPI 1518010800
  NPD (past)
• Icf Consultants, Inc.

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1962568998
  NPD (past)

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1871917286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 VILLAGE LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146103045",
            "telephone_number": "352-871-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 VILLAGE LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146103045",
            "telephone_number": "352-871-3208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 N. Farwell Ave.",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532022329",
            "country_code": "US",
            "telephone_number": "414-273-2220",
            "fax_number": "414-273-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4664-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexei Taskovski, PHARMD
• Azanaw Melese Tassew, MD
• Kathy Tata
• Jeffrey C Tatar, RPA-C
• Cierra Tate
• Nita Tati
• Therese Tatlow
• Vladimir Taub
• Mark Taubman, MD
• Cathaline Tauscher, LCSW

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.