TIJO THOMAS THAYIL
NPI 1376901926
Counselor - Mental Health in Lynbrook, NY

Q: What is Tijo Thayil's NPI number?

The NPI number for Tijo Thayil is 1376901926. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Q: What is Tijo Thayil's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Tijo Thayil was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 10, 2016PECOS EnrolledAccepts Medicare Assignment

777 SUNRISE HWY STE 200, LYNBROOK, NY 11563(516) 350-8564 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, Feb 10, 2016 (2 updates tracked since 2016).

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About Tijo Thomas Thayil NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIJO THOMAS THAYIL (NPI 1376901926) is an individual mental health provider in Lynbrook, New York, licensed in New York (015959) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in East Meadow, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1376901926

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameTIJO THOMAS THAYIL

Location Address777 SUNRISE HWY STE 200Lynbrook, NY 11563-2950

Mailing Address184 Bette RdEast Meadow, NY 11554-1305 · (516) 749-3342

Phone(516) 350-8564

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 10, 2016

Last NPPES UpdateJune 4, 20262 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1376901926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 015959

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

777 SUNRISE HWY STE 200, Lynbrook, NY 11563

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Secondary Practice Location 1

Location 1184 Bette RoadEast Meadow, NY 11554 · Phone (516) 749-3342

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tijo Thomas Thayil is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234620386

PECOS Enrollment IDI20251117001632

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CIEDAH HOSTEN

Counselor (Mental Health)