Individual provider Active NPI

Ekaterina Zubritskaya, PA, PH.D

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1508048810
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000942-1 Issued in NY
Practice address
1841 Broadway FL 4
5 West 86TH Street, Suite 1C
New York, NY 10023-7603
Phone
(917) 770-8727
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17511 NY
Psychoanalyst 102L00000X 000942-1 NY Primary

Addresses

Primary practice location

1841 Broadway FL 4
5 West 86TH Street, Suite 1C
New York, NY 10023-7603

Mailing address

815 E 14TH St Apt 4C
Brooklyn, NY 11230-2946
Phone (917) 770-8727

Other identifiers 2

IdentifierTypeStateIssuer
000941-1OtherNYTHE UNIVERSITY OF THE STATE OF NEW YORK, PSYCHOANALYST LICENSE
8978881OtherNYREGISTRATION CERTIFICATE FOR THE LICENSE OF PSYCHOANALIST

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
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
17511NYMDAddiction (Substance Use Disorder) Counselor
000942-1NYMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1508048810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E 14TH ST APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302946",
            "telephone_number": "917-770-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 BROADWAY FL 4",
            "address_2": "5 WEST 86TH STREET, SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237603",
            "telephone_number": "917-770-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBRITSKAYA",
        "first_name": "EKATERINA",
        "credential": "PA, PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "17511",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000942-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK, PSYCHOANALYST LICENSE",
            "identifier": "000941-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION CERTIFICATE FOR THE LICENSE OF PSYCHOANALIST",
            "identifier": "8978881",
            "state": "NY"
        }
    ],
    "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 Jun 30, 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.