Active NPI
Yelena Mikhalovan Katanova
- Social Worker
- Fort Lauderdale, FL
National Provider Identifier
1396057261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619 - Phone
- (954) 728-1033
- Fax
- (954) 779-2316
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 290116091 | NY | |
| Social Worker | 104100000X | FL | Primary | |
| Developmental Therapist | 222Q00000X | FL |
Addresses
Primary practice location
1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619
Mailing address
1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619
Phone (954) 728-1033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290116091 | NY | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1396057261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162619",
"telephone_number": "954-728-1033",
"fax_number": "954-779-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162619",
"telephone_number": "954-728-1033",
"fax_number": "954-779-2316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATANOVA",
"first_name": "YELENA",
"middle_name": "MIKHALOVAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "290116091",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.