Individual provider Active NPI

Tanya Yanovsky, M.D.

  • Psychiatry Physician
  • Waltham, MA
National Provider Identifier
1295719748
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
50268 Issued in MA
Practice address
20 Hope Ave
Suite G05
Waltham, MA 02453-2721
Phone
(781) 893-8762
Fax
(781) 899-6386
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 50268 MA Primary

Addresses

Primary practice location

20 Hope Ave
Suite G05
Waltham, MA 02453-2721

Mailing address

53 Fellsmere Rd
Newton, MA 02459-1339
Phone (781) 893-8762

Other identifiers 1

IdentifierTypeStateIssuer
3012565MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000301 MA Practitioner - Psychiatry 7214927706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

125 Newbury St
Suite 500
Framingham, MA 01701-4593
Phone (781) 646-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC Psychiatry CurrentSince Sep 19, 2018 Accepting new patients

Locations

22 Mill St
Ste 4
Arlington, MA 02476
Phone (781) 246-0500

125 Newbury St
Ste 500
Framingham, MA 01701
Phone (718) 646-0500

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

Interoperability endpoints

  • Direct secure messaging: cfps.tanyayanovsky@139414.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1295719748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 FELLSMERE RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591339",
            "telephone_number": "781-893-8762",
            "fax_number": "781-899-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE G05",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532721",
            "telephone_number": "781-893-8762",
            "fax_number": "781-899-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANOVSKY",
        "first_name": "TANYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "50268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012565",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.