Yelena Razdolskaya, PSY.D

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

0162101 Issued in NY

Practice address

2785 W 5TH St Apt 10E
Brooklyn, NY 11224-4612

Phone

(646) 415-1915

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mandala Psychological Services, P.C.

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1922164383
  Authorized official Same address or phone

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396844924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 W 5TH ST APT 10E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 W 5TH ST APT 10E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244612",
            "telephone_number": "646-415-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZDOLSKAYA",
        "first_name": "YELENA",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "0162101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamid Razaki, PHARM.D
• Matlyuba Razakova, RN
• Shamima Razamoni, FNP-BC
• Tamim Razaqpur, MD
• Arta Razavi, BCBA
• Shayne Raze, MSW, LCSW
• Sheldon Razefsky, RPH
• Ellen J Razgaitis, CNM
• Ilona Razhkova
• Joseph A Raziano Jr.

• Clinical Child & Adolescent Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.