Andrew Tatarsky, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9253 Issued in NY

Practice address

303 5TH Ave
1403
New York, NY 10016-6601

Phone

(212) 633-8157

Fax

(212) 604-0830

NPI assigned

May 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 6, 2021 through Dec 6, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Optimal Living Psychological Services, PC

  • Addiction (Substance Use Disorder) Psychologist
  • New York, NY
  • NPI 1033512215
  NPD (past) Authorized official

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215142245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MERCER ST",
            "address_2": "B104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036706",
            "telephone_number": "212-674-1696",
            "fax_number": "212-604-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE",
            "address_2": "1403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166601",
            "telephone_number": "212-633-8157",
            "fax_number": "212-604-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATARSKY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "9253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Kartricia Taste
• Emily Tat, MD
• Vasishta Surya Tatapudi, M.D.
• Pallavi Tatapudy, MD
• John Tatarakis Jr., RN, PMHNP-BC
• Tate Psychotherapy LCSW PLLC
• Chinara M Tate
• Derek Mitchell Tate, MD
• Kiah N Tate, LMSW
• Mary Tate, LCSW

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.