Individual provider Active NPI

Tatyana Gimein, MSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1447623681
Registry record updated Apr 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R055710 Issued in NY
Practice address
2044 Ocean Ave
Suit A9
Brooklyn, NY 11230-7393
Phone
(646) 575-4152
NPI assigned
Nov 10, 2015
Last updated
Apr 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R055710 NY Primary

Addresses

Primary practice location

2044 Ocean Ave
Suit A9
Brooklyn, NY 11230-7393

Mailing address

2044 Ocean Ave
Suite A9
Brooklyn, NY 11230-7393
Phone (646) 575-4152

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
I20190625000070 NY Practitioner - Clinical Social Worker 7214261353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Psychiatric Services PCGroup PAC ID 9436040102, 23 clinicians

Practice addresses (Care Compare)

225 Broadway
Suite 1605
New York, NY 10007-3756
Phone (212) 693-4010

Merit-based Incentive Payment System (MIPS)

Final score
99.18 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
86.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R055710NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New York Psychiatric Services, P.C. CurrentSince Jun 1, 2019 Accepting new patients

Locations

225 Broadway
Ste 1605
New York, NY 10007
Phone (212) 227-2225

Organizations & group practices 1

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": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493424000000",
    "number": "1447623681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 OCEAN AVE",
            "address_2": "SUITE A9",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307393",
            "telephone_number": "646-575-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 OCEAN AVE",
            "address_2": "SUIT A9",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307393",
            "telephone_number": "646-575-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMEIN",
        "first_name": "TATYANA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2017-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.