Individual provider Active NPI

Eugenia Cherkasskaya, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1447636709
Registry record updated Aug 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
021277-1 Issued in NY
Practice address
145 W 96TH St # 1F
New York, NY 10025-6403
Phone
(917) 254-0472
NPI assigned
Aug 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 021277-1 NY Primary

Addresses

Primary practice location

145 W 96TH St # 1F
New York, NY 10025-6403

Mailing address

790 Amsterdam Ave Apt 4C
New York, NY 10025-5710
Phone (917) 254-0472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
021277-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Downtown Psychology PLLC CurrentSince Aug 8, 2021 Accepting new patients

Locations

145 W 96th St
Ste 1F
New York, NY 10025
Phone (212) 688-2100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439078400000",
    "number": "1447636709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 AMSTERDAM AVE APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255710",
            "telephone_number": "917-254-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 96TH ST # 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256403",
            "telephone_number": "917-254-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERKASSKAYA",
        "first_name": "EUGENIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-09",
        "last_updated": "2015-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021277-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; 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.