Ilya Parizhsky, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

119479 Issued in CA

Practice address

2903 Shattuck Ave
Berkeley, CA 94705-1808

Phone

(510) 876-4835

NPI assigned

Jun 30, 2020

Last updated

Jun 30, 2020By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1437776929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 ASHMOUNT AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101204",
            "telephone_number": "510-610-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051808",
            "telephone_number": "510-876-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIZHSKY",
        "first_name": "ILYA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "119479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Pappas, MD
• Senadhi Parakrama
• Sara Paredes
• Stuti Parija
• Nikie Parikh, M.D
• Annie Park, RPH
• Joo Hyun Park, PHARM.D.
• Jung Sun Park, D.D.S.
• Katherine Sumin Park, RN
• Kristen Park

• Mental Health Counselor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.