TYLER JOHN ANDERSON
NPI 1073393062
Counselor - Mental Health in Fishkill, NY
Active since October 05, 2023
About Tyler John Anderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER JOHN ANDERSON (NPI 1073393062) is an individual mental health provider in Fishkill, New York and active in the NPI registry since October 2023. He maintains a secondary practice location in Goshen.
NPPES Registry Identity
NPI1073393062
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTYLER JOHN ANDERSON
Location Address1068 MAIN ST STE 202Fishkill, NY 12524-3659
Mailing Address117 Riverview DrFishkill, NY 12524-1421 · (845) 243-1245
Phone(845) 202-2466
Sole ProprietorYes
Enumeration DateOctober 5, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1073393062 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1068 MAIN ST STE 202, Fishkill, NY 12524
Secondary Practice Location 1
Location 130 Harriman DrGoshen, NY 10924-2410 · Phone (845) 291-2600
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073393062, enumerated as an "individual" on October 05, 2023.
The provider is located at 1068 MAIN ST STE 202 FISHKILL, NY 12524 and the phone number is (845) 202-2466.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.