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
- 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT8023335 | Other | NE | DDA |
| 100250661-00 | Medicaid | NE |
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 | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Psychiatry | Past | Accepting new patients |
| Stephen J. Paden | 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 and National Provider Directory roles.
-
- Psychiatry Physician
- Lincoln, NE
- NPI 1376604363
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DDA",
"identifier": "AT8023335",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250661-00",
"state": "NE"
}
],
"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.