Individual provider Active NPI

Yekaterina L Tatarchuk, MD

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1336374412
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD443358 Issued in PA
Practice address
245 S 8TH St
2ND FL.
Philadelphia, PA 19106-3520
Phone
(215) 829-7217
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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 MD443358 PA Primary

Addresses

Primary practice location

245 S 8TH St
2ND FL.
Philadelphia, PA 19106-3520

Mailing address

245 S 8TH St
2ND FL.
Philadelphia, PA 19106-3520
Phone (215) 829-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130530000093 PA Practitioner - Psychiatry 3072751288 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon House - Delaware Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1336374412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S 8TH ST",
            "address_2": "2ND FL.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063520",
            "telephone_number": "215-829-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S 8TH ST",
            "address_2": "2ND FL.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063520",
            "telephone_number": "215-829-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATARCHUK",
        "first_name": "YEKATERINA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD443358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.