Katarina Alexandra Radovsky

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

792 West St Apt G106
Mansfield, MA 02048-4109

Phone

(508) 330-9860

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Making Waves Mental Health LLCGroup PAC ID 2163950288, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Making Waves Mental Health LLC

  • Clinical Social Worker
  • Foxborough, MA
  • NPI 1093550642
  Medicare reassignment Care Compare group NPD
• Community Counseling of Bristol County, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
  • NPI 1730215781
  Medicare reassignment NPD
• Community Counseling of Bristol County Inc

  • Home Health Agency
  • Taunton, MA
  • NPI 1659791515
  NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1336765734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 WEST ST APT G106",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020484109",
            "telephone_number": "508-330-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 WEST ST APT G106",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020484109",
            "telephone_number": "508-330-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOVSKY",
        "first_name": "KATARINA",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachin Shamkant Phansalkar, M.D.
• Cassandra Pierre, APRN-NP
• Kerry Pottinger
• Dawn Elizabeth Pouliot, MASSAGE THERAPIST
• Radiation Therapy of Southeastern Mass, LLC
• Brenda Rainey, LMT
• Soumya Reddy Rajupet
• Feyisetan Rebecca Ramey, DNP, APRN, PMHNP
• Jossana Rasla, DMD
• Shivantika Rastogi

• Mental Health Counselor in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.