Active NPI
Yuliya Medzhitova, PHD
- Psychologist
- New York, NY
National Provider Identifier
1538403902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 025398-01
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025398-01 | NY | MD | Psychologist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.