Individual provider Active NPI

Tracy Nicole Javaherian, M.D.

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1477755361
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD432463 Issued in PA
Practice address
330 S 9TH St
Pittsburgh, PA 15203-1266
Phone
(412) 488-4040
NPI assigned
Jun 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 MD432463 PA Primary

Addresses

Primary practice location

330 S 9TH St
Pittsburgh, PA 15203-1266

Mailing address

1200 Reedsdale St
Pittsburgh, PA 15233-2109
Phone (412) 323-4500

Other identifiers 2

IdentifierTypeStateIssuer
102310168 0001MedicaidPA
2104533OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090619000155 PA Practitioner - Psychiatry 7719038439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

412 E Commons
Pittsburgh, PA 15212-5310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Psychiatry CurrentSince Oct 1, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Mercy Life Center Corp CurrentSince Jun 30, 2009 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 1, 2023 Accepting new patients
Mercy Life Center Corporation Current Accepting new patients

Locations

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543

330 S 9th St
Pittsburgh, PA 15203
Phone (877) 637-2924

412 E Commons
Pittsburgh, PA 15212
Phone (412) 323-4500

Organizations & group practices 5

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": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1477755361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332109",
            "telephone_number": "412-323-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 9TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031266",
            "telephone_number": "412-488-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAHERIAN",
        "first_name": "TRACY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD432463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102310168 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2104533",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.