Organization Active NPI

Deborah a. Telaak, LMHC

  • Community/Behavioral Health Agency
  • Amherst, NY
National Provider Identifier
1992119044
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
002528 Issued in NY
Legal business name
DEBORAH A. TELAAK, LMHC
Practice address
100 Corporate Pkwy Ste 318
Amherst, NY 14226-1200
Phone
(716) 638-0003
Fax
(716) 691-7013
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Deborah Ann Telaak, LMHCNPI 1326094038
Title
Owner
Phone
(716) 638-0003

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
Community/Behavioral Health Agency 251S00000X 002528 NY Primary

Addresses

Primary practice location

100 Corporate Pkwy Ste 318
Amherst, NY 14226-1200

Mailing address

29 Bucyrus Dr
Amherst, NY 14228-1944
Phone (716) 691-8913

National Provider Directory

National Provider Directory

Locations

100 Corporate Pkwy
Ste 318
Buffalo, NY 14226
Phone (716) 539-0549

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": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1992119044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BUCYRUS DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281944",
            "telephone_number": "716-691-8913",
            "fax_number": "716-691-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE PKWY STE 318",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261200",
            "telephone_number": "716-638-0003",
            "fax_number": "716-691-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A. TELAAK, LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "TELAAK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-638-0003",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "002528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.