Individual provider Active NPI

Erica C. Goorevich, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1033497185
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
257345 Issued in NY
Practice address
51 E 42ND St
1208
New York, NY 10017-5404
Phone
(212) 725-0192
Fax
(914) 285-5723
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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 257345 NY Primary

Addresses

Primary practice location

51 E 42ND St
1208
New York, NY 10017-5404

Mailing address

200 E 33Rd St
31J
New York, NY 10016-4874
Phone (212) 725-0192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257345NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Medical, PLLC Psychiatry PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1033497185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "31J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164874",
            "telephone_number": "212-725-0192",
            "fax_number": "914-285-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 42ND ST",
            "address_2": "1208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175404",
            "telephone_number": "212-725-0192",
            "fax_number": "914-285-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOREVICH",
        "first_name": "ERICA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "257345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.