Active NPI
Erica C. Goorevich, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1033497185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 257345
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 257345 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child & Family Medical, PLLC | Psychiatry | Past | 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.
-
- Psychiatry Physician
- White Plains, NY
- NPI 1710008339
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.