Elisabeth Mashinic, MD
Individual provider Active NPI Psychiatry Physician · Waverly, NY
NPI 1376682989 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1376682989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 212989 (NY)
- Practice address
- 80 William Donnelly Indus Pkwy
Waverly, NY 14892-1500 - Phone
- (607) 565-9594
- Fax
- (607) 565-7194
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- State University of New York at Stony Brook, School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Erie County Medical Center Corporation
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000
Hospital & facility affiliations
- Erie County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050817000659 | NY | Practitioner - Psychiatry | 7113957317 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles (9 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital | Current |
Accepting new patients | |
| New York City Health and Hospitals Corporation | Current |
Accepting new patients | |
| New York City Health and Hospitals Corporation | Current |
Accepting new patients | |
| University Psychiatric Practice, Inc | Psychiatry | Current |
Accepting new patients |
| Jamaica Hospital | Current |
Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Arista Center for Psychotherapy Inc | Past | Accepting new patients | |
| Tioga County Health Department | Past | Accepting new patients | |
| Brookdale Hospital Medical Center | Past | Accepting new patients |
Locations
462 Grider St
Rm 1168
Buffalo, NY 14215
Phone (716) 898-4857
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
50 Water St
Fl 3
New York, NY 10004
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 212989 | NY | Yes |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 212989 | NY |
Addresses
Primary practice location
80 William Donnelly Indus Pkwy
Waverly, NY 14892-1500
Mailing address
80 William Donnelly Indus Pkwy
Waverly, NY 14892-1500
Phone (607) 565-9594
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39062A | Other | EMPLOYER MEDICARE PROVIDE | |
| 00618162 | Other | NY | EMPLOYER MEDICAID PROVIDE |
Other providers in Waverly, NY
- Jennifer Anne Kozemko
- Sandra Siewert Laats
- Jane A. Lane
- Wendy Jean Lougher
- Barbarann Martin
- Scott Mathewson
- Alice O'Brien-Botts
- Tracy Palombizio
- Jessica Palozzi
- James W Peterson
All providers in Waverly, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.