Active NPI
Rafael Tatay, MD
- Psychiatry Physician
- Lincoln, NE
National Provider Identifier
1215921663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15956
- Practice address
- 2222 S 16TH St
Suite 330
Lincoln, NE 68502-3796 - Phone
- (402) 474-1511
- Fax
- (402) 474-1611
- NPI assigned
- Aug 31, 2005
- Last updated
- Dec 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15956 | NE | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 15956 | NE |
Addresses
Primary practice location
2222 S 16TH St
Suite 330
Lincoln, NE 68502-3796
Mailing address
5001 Bridle LN
2222 South 16TH St, Suite 330
Lincoln, NE 68516-3438
Phone (402) 730-6061
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15956 | NE | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen J. Paden | Psychiatry | Past | Accepting new patients |
| Bryan Physician Network | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1215921663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 BRIDLE LN",
"address_2": "2222 SOUTH 16TH ST, SUITE 330",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163438",
"telephone_number": "402-730-6061",
"fax_number": "402-474-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S 16TH ST",
"address_2": "SUITE 330",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023796",
"telephone_number": "402-474-1511",
"fax_number": "402-474-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATAY",
"first_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "15956",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NE",
"license": "15956",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.