Individual provider Active NPI

Yuliya Medzhitova, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1538403902
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
025398-01 Issued in NY
Practice address
1-9 Nathan D Perlman PL
Bernstein Pavillion, 2ND FL
New York, NY 10003-1000
Phone
(929) 266-7847
NPI assigned
Nov 25, 2012
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 025398-01 NY Primary

Addresses

Primary practice location

1-9 Nathan D Perlman PL
Bernstein Pavillion, 2ND FL
New York, NY 10003-1000

Mailing address

1-9 Nathan D Perlman PL
New York, NY 10003
Phone (929) 266-7847

Other practice location 1

20 E 106th St
9th fl
New York, NY 10029
Phone (929) 266-7847

Other names 1

  • Yuliya Medzhitova Other name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025398-01NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1353801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1538403902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1-9 NATHAN D PERLMAN PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "929-266-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1-9 NATHAN D PERLMAN PL",
            "address_2": "BERNSTEIN PAVILLION, 2ND FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031000",
            "telephone_number": "929-266-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 E 106th St",
            "address_2": "9th fl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10029",
            "country_code": "US",
            "telephone_number": "929-266-7847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDZHITOVA",
        "first_name": "YULIYA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-25",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "025398-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YULIYA",
            "last_name": "MEDZHITOVA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.