Gabriel T Tatarian, DO, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS008458L Issued in PA

Legal business name

GABRIEL T TATARIAN, DO, LLC

Practice address

1015 Chestnut St Ste 918
Philadelphia, PA 19107

Phone

(215) 922-1801

NPI assigned

Nov 21, 2006

Reactivated

Aug 24, 2018

Last updated

Mar 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian A Morgan

Title

Office Manager

Phone

(215) 922-1801

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1184799868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 918",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074309",
            "telephone_number": "215-922-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 918",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-922-1801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Presidential Blvd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041107",
            "country_code": "US",
            "telephone_number": "215-922-1801",
            "fax_number": "215-922-1806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Second Ave Ste C-850",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194263635",
            "country_code": "US",
            "telephone_number": "610-831-5200",
            "fax_number": "610-831-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GABRIEL T TATARIAN, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-03-13",
        "deactivation_date": "2018-08-23",
        "reactivation_date": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-922-1801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS008458L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01465075",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drtatarian@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "secure business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1015 Chestnut St Ste 918",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kristin Gabriel, MD
• Mari-Elizabeth Gabriel

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.