Individual provider Active NPI

Yelena V Chistyakova, M.D.

  • Psychiatry Physician
  • Decatur, AL
National Provider Identifier
1295944056
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31968 Issued in AL
Practice address
1615 Kathy LN SW Ste 102
Decatur, AL 35603-1026
Phone
(256) 288-3333
Fax
(256) 429-9411
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 31968 AL Primary

Addresses

Primary practice location

1615 Kathy LN SW Ste 102
Decatur, AL 35603-1026

Mailing address

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121128000634 AL Practitioner - Psychiatry 4183740558 Reassigns benefits to 2 organizations
I20171213001281 TN Practitioner - Psychiatry 4183740558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

1615 Kathy LN SW
Decatur, AL 35603-1026
Phone (256) 288-3333

4087 U S
Suite 31
Falkville, AL 35622-6319
Phone (931) 427-6052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31968ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russellville Hospital Inc Current Accepting new patients
Integrated Behavioral Health, Inc. Psychiatry CurrentSince Sep 6, 2016 Accepting new patients
Russellville Hospital Inc CurrentSince Jun 1, 2020 Accepting new patients
Iop Behavioral Health, LLC Past Accepting new patients

Locations

4984 Overton Rd
Birmingham, AL 35210
Phone (205) 768-5558

2205 Beltline Rd SW
Decatur, AL 35601
Phone (256) 306-4000

1615 Kathy Ln SW
Ste 102
Decatur, AL 35603
Phone (256) 686-4441

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

1111 Wayne Rd NW
Ste 6
Huntsville, AL 35806
Phone (256) 270-1955

5315 Millennium Dr NW
Huntsville, AL 35806
Phone (256) 964-6700

350 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

1800 Beverly Ave
Muscle Shoals, AL 35661
Phone (256) 320-7475

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

101 Ivy Ln
Pulaski, TN 38478
Phone (931) 363-3633

Organizations & group practices 4

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1295944056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-288-3333",
            "fax_number": "256-429-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 KATHY LN SW STE 102",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031026",
            "telephone_number": "256-288-3333",
            "fax_number": "256-429-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISTYAKOVA",
        "first_name": "YELENA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "31968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.