Individual provider Active NPI

Fabienne Tavernier

  • Mental Health Counselor
  • East Hampton, NY
National Provider Identifier
1902645245
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
014736 Issued in NY
Practice address
44 Three Mile Harbor HC
East Hampton, NY 11937-1253
Phone
(631) 487-8589
NPI assigned
May 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 014736 NY Primary

Addresses

Primary practice location

44 Three Mile Harbor HC
East Hampton, NY 11937-1253

Mailing address

44 Three Mile Harbor HC
East Hampton, NY 11937-1253
Phone (631) 487-8589

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

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1902645245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 THREE MILE HARBOR HC",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119371253",
            "telephone_number": "631-487-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 THREE MILE HARBOR HC",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119371253",
            "telephone_number": "631-487-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERNIER",
        "first_name": "FABIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.