Individual provider Active NPI

Arkady Bilenko, M.D.

  • Psychiatry Physician
  • Palm Springs, CA
National Provider Identifier
1033172101
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A69239 Issued in CA
Practice address
1180 N Indian Canyon Dr Ste E205
Palm Springs, CA 92262-4876
Phone
(760) 325-1202
Fax
(760) 864-7105
NPI assigned
Apr 10, 2006
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A69239 CA Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr Ste E205
Palm Springs, CA 92262-4876

Mailing address

1180 N Indian Canyon Dr Ste E205
Palm Springs, CA 92262-4876
Phone (760) 325-1202

Other practice location 1

3455 Mill Run Dr Ste 310
Hilliard, OH 43026-9082
Phone (833) 358-2036

Other practice location 2

505 S 336th St Ste 500
Federal Way, WA 98003-8300
Phone (206) 962-3535

Other practice location 3

3865 Albatross St Apt 6
C/O Faculty Practice
San Diego, CA 92103-3096
Phone (781) 281-6861

Other identifiers 1

IdentifierTypeStateIssuer
02644131MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003007331 CA Practitioner - Psychiatry 9234172271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A69239CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Zachary, D.O., P.C. CurrentSince Nov 1, 2021 Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients
Summit Medical Group, PLLC PastSince Nov 16, 2018 Accepting new patients
Park Slope Center for Mental Health, Inc PastSince Oct 11, 2005 Accepting new patients

Locations

7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1033172101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E205",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624876",
            "telephone_number": "760-325-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E205",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624876",
            "telephone_number": "760-325-1202",
            "fax_number": "760-864-7105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Mill Run Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430269082",
            "country_code": "US",
            "telephone_number": "833-358-2036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S 336th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038300",
            "country_code": "US",
            "telephone_number": "206-962-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3865 Albatross St Apt 6",
            "address_2": "C/O FACULTY PRACTICE",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921033096",
            "country_code": "US",
            "telephone_number": "781-281-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILENKO",
        "first_name": "ARKADY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A69239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02644131",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.