Individual provider Active NPI

Abraham Verjovsky, M.D.

  • Psychiatry Physician
  • Edina, MN
National Provider Identifier
1518035880
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32782 Issued in MN
Practice address
6800 France Ave S.
Suite 520
Edina, MN 55435
Phone
(651) 334-8487
Fax
(888) 959-5221
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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 32782 MN Primary

Addresses

Primary practice location

6800 France Ave S.
Suite 520
Edina, MN 55435

Mailing address

6800 France Ave S.
Suite 520
Edina, MN 55435
Phone (651) 334-8487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 21, 2016 through Mar 21, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Defoe-Raymond Past Accepting new patients

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": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1518035880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 FRANCE AVE S.",
            "address_2": "SUITE 520",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "651-334-8487",
            "fax_number": "888-959-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 FRANCE AVE S.",
            "address_2": "SUITE 520",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "651-334-8487",
            "fax_number": "888-959-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERJOVSKY",
        "first_name": "ABRAHAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "32782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.