Individual provider Active NPI

Tatiana Maskileyson

  • Psychiatric/Mental Health Nurse Practitioner
  • Chalfont, PA
National Provider Identifier
1386251643
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP022587 Issued in PA
Practice address
3265 County Line Rd
Chalfont, PA 18914-3712
Phone
(215) 996-9839
NPI assigned
Sep 29, 2020
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP022587 PA Primary

Addresses

Primary practice location

3265 County Line Rd
Chalfont, PA 18914-3712

Mailing address

3265 County Line Rd
Chalfont, PA 18914-3712
Phone (215) 996-9839

Other practice location 1

218 Somerset Cir
Chalfont, PA 18914-3496
Phone (267) 567-3029

Other practice location 2

218 Somerset Cir
Chalfont, PA 18914-3496
Phone (267) 567-3029

Other practice location 3

9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (267) 567-3029

Other names 1

  • Tatiana Maskileyson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220608002565 PA Practitioner - Nurse Practitioner 3274911953 Reassigns benefits to 3 organizations
I20260406002194 NY Practitioner - Nurse Practitioner 3274911953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
2 Crows LLCGroup PAC ID 0244652279, 8 clinicians
Supportive Care of Pennsylvania LLCGroup PAC ID 0143521211, 91 clinicians

Practice addresses (Care Compare)

111 W 24TH St
Suite 300
New York, NY 10011-1912
Phone (610) 510-4881

150 S Warner Rd
Suite 130
King of Prussia, PA 19406-2830
Phone (610) 510-4881

2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP022587PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
2 Crows LLC Family CurrentSince Sep 1, 2022 Accepting new patients
Supportive Care of Pennsylvania LLC CurrentSince Mar 15, 2025 Accepting new patients
Dmitriy Gekhman, M.D., P.L.L.C. Psychiatric/Mental Health CurrentSince Feb 9, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 26, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

400 W Lancaster Ave
Ste 300
Devon, PA 19333
Phone (610) 510-4881

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

150 S Warner Rd
Ste 130
Kng of Prussa, PA 19406
Phone (610) 400-4885

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

2990 Holme Ave
Philadelphia, PA 19136
Phone (215) 335-2100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1386251643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 COUNTY LINE RD",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143712",
            "telephone_number": "215-996-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 COUNTY LINE RD",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143712",
            "telephone_number": "215-996-9839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Somerset Cir",
            "address_purpose": "LOCATION",
            "city": "Chalfont",
            "state": "PA",
            "postal_code": "189143496",
            "country_code": "US",
            "telephone_number": "267-567-3029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Somerset Cir",
            "address_purpose": "LOCATION",
            "city": "Chalfont",
            "state": "PA",
            "postal_code": "189143496",
            "country_code": "US",
            "telephone_number": "267-567-3029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Bren Rd E",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553439664",
            "country_code": "US",
            "telephone_number": "267-567-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASKILEYSON",
        "first_name": "TATIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "MASKILEYSON",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chalfont, PA

Sources for this page

Verify at the official NPI Registry.