Individual provider Active NPI

Arkadiy Yaretskiy, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1558604751
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A135742 Issued in CA
Practice address
124 W 81St St
New York, NY 10024-5944
Phone
(347) 527-3626
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 A135742 CA Primary

Addresses

Primary practice location

124 W 81St St
New York, NY 10024-5944

Mailing address

124 W 81St St
New York, NY 10024-5944
Phone (347) 527-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20161202001439 CA Practitioner - Psychiatry 5698055911 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135742CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Mar 1, 2020 Accepting new patients
Schuman-Liles Clinic, Inc Psychiatry CurrentSince Feb 10, 2026 Accepting new patients
Telecare Corporation Current Accepting new patients
Schuman-Liles Clinic, Inc Psychiatry CurrentSince Feb 10, 2026 Accepting new patients
Telecare Corporation CurrentSince Mar 1, 2020 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

3211 Jefferson St
San Diego, CA 92110
Phone (619) 682-4012

Interoperability endpoints

  • Direct secure messaging: ayaretskiy14679@alamedahs.direct-ci.com

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1558604751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W 81ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245944",
            "telephone_number": "347-527-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W 81ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245944",
            "telephone_number": "347-527-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARETSKIY",
        "first_name": "ARKADIY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A135742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.