Individual provider Active NPI

Tetyana Bodnar, MD

  • Psychiatry Physician
  • Northfield, OH
National Provider Identifier
1437536356
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.129850 Issued in OH
Practice address
1756 Sagamore Rd
Northfield, OH 44067-1086
Phone
(330) 467-7131
NPI assigned
Apr 29, 2015
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.129850 OH Primary

Addresses

Primary practice location

1756 Sagamore Rd
Northfield, OH 44067-1086

Mailing address

1756 Sagamore Rd
Northfield, OH 44067-1086
Phone (330) 467-7131

Other names 1

  • Tanya Bodnar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190516001060 OH Practitioner - Psychiatry 9931442837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1756 Sagamore Rd
Northfield, OH 44067-1086
Phone (330) 833-3135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.129850OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
Partners Physician Group CurrentSince Oct 11, 2019 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jan 5, 2021 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jan 5, 2021 Accepting new patients
Partners Physician Group Psychiatry Current Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

1756 Sagamore Rd
Northfield, OH 44067
Phone (330) 467-7131

4325 Green Rd
Warrensville Heights, OH 44128
Phone (216) 464-7400

Interoperability endpoints

  • Direct secure messaging: tbodnar19474@mhas.direct-ci.com
  • Direct secure messaging: tbodnar329665@direct.ccf.org

Organizations & group practices 6

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1437536356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 SAGAMORE RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671086",
            "telephone_number": "330-467-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 SAGAMORE RD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440671086",
            "telephone_number": "330-467-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "TETYANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.129850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "BODNAR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northfield, OH

Sources for this page

Verify at the official NPI Registry.