NPIMap

Organization Active NPI

Lyudmila Rakita M.D.,P.C.

  • Psychiatry Physician
  • Brockton, MA
National Provider Identifier
1588837553
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
152341 Issued in MA
Legal business name
LYUDMILA RAKITA M.D.,P.C.
Practice address
1342 Belmont St
Suite 103
Brockton, MA 02301-4436
Phone
(508) 895-9393
Fax
(508) 895-9990
NPI assigned
Apr 10, 2008
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Lyudmila Rakita, MDNPI 1700873999
Title
Physician/Psychiatrist
Phone
(508) 895-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 152341 MA Primary

Addresses

Primary practice location

1342 Belmont St
Suite 103
Brockton, MA 02301-4436

Mailing address

1342 Belmont St
Suite 103
Brockton, MA 02301-4436
Phone (508) 895-9393

Other identifiers 1

IdentifierTypeStateIssuer
3181715MedicaidMA

National Provider Directory

National Provider Directory

Locations

1342 Belmont St
Ste 103
Brockton, MA 02301
Phone (508) 313-2082

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1588837553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 BELMONT ST",
            "address_2": "SUITE 103",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014436",
            "telephone_number": "508-895-9393",
            "fax_number": "508-895-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 BELMONT ST",
            "address_2": "SUITE 103",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014436",
            "telephone_number": "508-895-9393",
            "fax_number": "508-895-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYUDMILA RAKITA M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "RAKITA",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_title_or_position": "PHYSICIAN/PSYCHIATRIST",
        "authorized_official_telephone_number": "508-895-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "152341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3181715",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.