Individual provider Active NPI

Marina V Yaroshenko, MD

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1568443471
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
213051 Issued in MA
Practice address
55 Fruit St
BLK 11 Psychiatry Associates-Inpatient Consult
Boston, MA 02114-2621
Phone
(617) 724-9144
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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 213051 MA Primary

Addresses

Primary practice location

55 Fruit St
BLK 11 Psychiatry Associates-Inpatient Consult
Boston, MA 02114-2621

Mailing address

PO Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 724-9144

Other identifiers 3

IdentifierTypeStateIssuer
213051OtherMATUFTS HEALTH PLAN
2001560MedicaidMA
J25779OtherMABCBS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20041228000255 MA Practitioner - Psychiatry 8224096060 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Falmouth HospitalGroup PAC ID 6800051970, 92 clinicians
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

100 Ter Heun Dr
Falmouth, MA 02540-2503
Phone (508) 771-1800

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213051MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Cambridge Public Health Commission CurrentSince Mar 14, 2024 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Oct 4, 2021 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Oct 4, 2021 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Jul 12, 2017 Accepting new patients
Cambridge Public Health Commission CurrentSince Mar 14, 2024 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
The General Hospital Corporation CurrentSince Nov 3, 2011 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Jul 12, 2017 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients
Massachusetts General Physicians Organization Inc Psychiatry CurrentSince Jan 10, 2002 Accepting new patients
The Psychological Center, Inc. Past Accepting new patients
Northeast Behavioral Health Corporation PastSince May 8, 2017 Accepting new patients
NSPG Billing LLC Past Accepting new patients
Astra Mental Health and Recovery, Inc. Past Accepting new patients

Locations

25 Staniford St
Boston, MA 02114
Phone (617) 626-8500

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

55 Fruit St
#11
Boston, MA 02114
Phone (617) 724-5110

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

365 East St
Tewksbury, MA 01876
Phone (617) 536-2186

Interoperability endpoints

  • Direct secure messaging: myaroshenko45823@direct.capecodhealthcare.masshiway.net
  • Direct secure messaging: yaroshenko.marina.mgh@direct.partners.masshiway.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1568443471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-724-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "BLK 11 PSYCHIATRY ASSOCIATES-INPATIENT CONSULT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROSHENKO",
        "first_name": "MARINA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "213051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "213051",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001560",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J25779",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.