Tedjila V Strachan, CCM, ABA, TC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

1680 Pelham Pkwy S Apt 708
Bronx, NY 10461-1145

Phone

(347) 861-8672

NPI assigned

Dec 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Business Administration

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1912776683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 PELHAM PKWY S APT 708",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611145",
            "telephone_number": "347-861-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 PELHAM PKWY S APT 708",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611145",
            "telephone_number": "347-861-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRACHAN",
        "first_name": "TEDJILA",
        "middle_name": "V",
        "name_prefix": "Prof.",
        "credential": "CCM, ABA, TC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stracar Medical Services, P.C.
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• Decell Strachan
• Nathalee Strachan
• Dorothee Sophie Straetz, MD
• Straight a Community Inc
• Tracey Straker, MD
• Douglas George Straley, ATC
• Strands Prosthetics

• Pastoral Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Pastoral Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.