Look up the most recent NPI and PECOS records

Mandrill Taylor

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

950 Campbell Ave, West Haven, CT 06516-2770

PECOS Enrollment

Based on the most recent information from CMS, provider Mandrill Taylor is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1760781520
Provider Type
Individual
Full Name
Taylor, Mandrill
Title
Dr.
Credential
M.D., M.P.H.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/19/2011
Last Updated
5/22/2015

Contact Information

Practice Location

950 Campbell Ave, West Haven, CT 06516-2770

(203) 932-5711

Unlisted Fax

Mailing Location

950 Campbell Ave, West Haven, CT 06516-2770

(203) 932-5711

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 54097 Connecticut
Code 2084P0802X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 54097 Connecticut

Mandrill Taylor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Broad, Kathleen Louise

Krystal, John Harrison

Kravitz, Richard E

Young, Juan Joseph

Mercury Medical

Gelernter, Joel

Rosenheck, Robert Alan

Abdallah, Chadi

Romano, Sally Dunne

Lerner, Alec Philip