TAY GAINES LLC NPI 1295991107

NPI Information

  • NPI: 1295991107
  • Provider Name: TAY GAINES LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Doing Business As: TAY GAINES MD
  • Address: 4152 BLUE HERON BLVD W
    SUITE 123
    RIVIERA BEACH, FL
    ZIP 33404
  • Phone: (561) 844-7699

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NPI Details

TAY GAINES LLC is an adult mental health clinic center in Riviera Beach, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. TAY GAINES LLC NPI is 1295991107. The provider is registered as an organization entity type.
The provider Is Doing Business As Tay Gaines Md.

The provider's business location address is:

4152 BLUE HERON BLVD W
SUITE 123
RIVIERA BEACH, FL
ZIP 33404-811
Phone: (561) 844-7699
Fax: (561) 842-8215

The provider's authorized official is Tay Garnett Gaines .
The authorized official title is President/member and has the following contact phone number (561) 844-7699.

The enumeration date for this NPI number is 7/30/2008 and was last updated on 9/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthME55707FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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