Individual provider Active NPI

Militza Stevanovic, MD

  • Child & Adolescent Psychiatry Physician
  • Scarsdale, NY
National Provider Identifier
1316105158
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
130138 Issued in NY
Practice address
260 Garth Rd Apt 2J4
Scarsdale, NY 10583-4014
Phone
(914) 472-5354
Fax
(914) 725-3963
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 130138 NY Primary

Addresses

Primary practice location

260 Garth Rd Apt 2J4
Scarsdale, NY 10583-4014

Mailing address

260 Garth Rd Apt 2J4
Scarsdale, NY 10583-4014
Phone (914) 472-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130138NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1316105158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GARTH RD APT 2J4",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834014",
            "telephone_number": "914-472-5354",
            "fax_number": "914-725-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 GARTH RD APT 2J4",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834014",
            "telephone_number": "914-472-5354",
            "fax_number": "914-725-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVANOVIC",
        "first_name": "MILITZA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "130138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.