Organization Active NPI

Tellanid Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1881347904
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TELLANID INC
Practice address
601 W 26TH St
3Rd Floor, Ste 357, DPT# 24061
New York, NY 10001-2923
Phone
(631) 891-7773
NPI assigned
Jan 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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

Authorized official

Name
Nidhin SamuelNPI 1306518915
Title
Owner
Phone
(315) 203-8245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

601 W 26TH St
3Rd Floor, Ste 357, DPT# 24061
New York, NY 10001-2923

Mailing address

601 W 26TH St
3Rd Floor, Ste 357, DPT# 24061
New York, NY 10001-2923
Phone (631) 891-7773

National Provider Directory

National Provider Directory

Locations

601 W 26th St
Rm 357
New York, NY 10001
Phone (631) 891-7773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1881347904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 26TH ST",
            "address_2": "3RD FLOOR, STE 357, DPT# 24061",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012923",
            "telephone_number": "631-891-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 26TH ST",
            "address_2": "3RD FLOOR, STE 357, DPT# 24061",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012923",
            "telephone_number": "631-891-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLANID INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "NIDHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-203-8245"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.