Shady Taveras is a Bridgeport, Connecticut based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Shady Taveras is 14273 for Psych/Mental Health in Connecticut. Her current practice location is 346 Dayton Rd, Bridgeport. Patients can reach her at 203-450-6515 or can fax her at 959-666-8678. Shady Taveras is PMHNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1730501727. Shady Taveras provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Shady Taveras speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1730501727
NPI Enumeration Date:
10 Jan, 2014
NPI Last Update On:
24 Mar, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shady Taveras are as mentioned below.
License Number
Specialization
State
Status
14273
Psych/Mental Health
Connecticut
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Shady Taveras such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
008042339
Medicaid
Connecticut
008023170
Medicaid
Connecticut
008024427
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.