1407147564 NPI number — DR. MILANGEL THAYMEE CONCEPCION ZAYAS MD, MPH

Table of content: DR. MILANGEL THAYMEE CONCEPCION ZAYAS MD, MPH (NPI 1407147564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407147564 NPI number — DR. MILANGEL THAYMEE CONCEPCION ZAYAS MD, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CONCEPCION ZAYAS
Provider First Name:
MILANGEL
Provider Middle Name:
THAYMEE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407147564
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
111 MICHIGAN AVENUE, CHILDREN'S NATIONAL MEDICAL CENTER
Provider Second Line Business Mailing Address:
DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-476-3932
Provider Business Mailing Address Fax Number:
202-476-2368

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 ANNA MARSH LANE
Provider Second Line Business Practice Location Address:
BRATTLEBORO RETREAT- ANNA MARSH BEHAVIORAL CARE CLINIC
Provider Business Practice Location Address City Name:
BRATTLEBORO
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-257-7785
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/25/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0804X , with the licence number:  MD042362 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0804X , with the licence number: 18232 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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