Individual provider Active NPI

Mikhail Tulchinskiy, PHD

  • Mental Health Counselor
  • Forest Hills, NY
National Provider Identifier
1396936704
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003767 Issued in NY
Practice address
102-30 Queens Blvd.
Forest Hills, NY 11375
Phone
(917) 318-0382
Fax
(718) 897-1570
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003767 NY Primary

Addresses

Primary practice location

102-30 Queens Blvd.
Forest Hills, NY 11375

Mailing address

63-26 99TH Street
5A
Rego Park, NY 11374-1914
Phone (718) 897-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20240606002442 NY Practitioner - Mental Health Counselor 8628510500 Practice locations: Rego Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9508 Queens Blvd
Suite 1E
Rego Park, NY 11374-1151
Phone (718) 897-1570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
003767NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Therapy Nest PLLC PastSince Aug 1, 2021 Accepting new patients
Ability Mental Health Counseling, P.C. Mental Health Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1396936704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63-26 99TH STREET",
            "address_2": "5A",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741914",
            "telephone_number": "718-897-1570",
            "fax_number": "718-897-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102-30 QUEENS BLVD.",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "917-318-0382",
            "fax_number": "718-897-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULCHINSKIY",
        "first_name": "MIKHAIL",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.