Individual provider Active NPI

Zebulon Charles Taintor, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1982761888
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
91418 Issued in NY
Practice address
19 E 93Rd St
New York, NY 10128-1928
Phone
(917) 861-7696
NPI assigned
Jan 2, 2007
Last updated
Aug 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 91418 NY
Psychiatry Physician 2084P0800X 91418 NY Primary
Addiction Psychiatry Physician 2084P0802X 91418 NY

Addresses

Primary practice location

19 E 93Rd St
New York, NY 10128-1928

Mailing address

19 E 93Rd St
New York, NY 10128-1928
Phone (917) 861-7696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, NY, MP4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190909003585 DC Practitioner - Psychiatry 4082943592 Reassigns benefits to 1 organization
I20190925001470 VA Practitioner - Psychiatry 4082943592 Reassigns benefits to 1 organization
I20201123001929 NY Practitioner - Psychiatry 4082943592 Reassigns benefits to 1 organization
I20240402003041 MP Practitioner - Psychiatry 4082943592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
91418NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation CurrentSince Feb 5, 2024 Accepting new patients
Inova Health Care Services CurrentSince Aug 26, 2019 Accepting new patients
Commonwealth Healthcare Corporation Current Accepting new patients
Family Services, Inc. Psychiatry CurrentSince Oct 18, 2020 Accepting new patients
Inova Health Care Services CurrentSince Aug 26, 2019 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Feb 5, 2024 Accepting new patients
Inova Health Care Services Psychiatry CurrentSince Aug 26, 2019 Accepting new patients
Northspring Behavioral Healthcare Inc Past Accepting new patients

Locations

230 North Rd
Poughkeepsie, NY 12601
Phone (845) 452-0774

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1982761888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E 93RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281928",
            "telephone_number": "917-861-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E 93RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281928",
            "telephone_number": "917-861-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAINTOR",
        "first_name": "ZEBULON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "91418",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "91418",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "91418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.