Olga Gaftanyuk, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

220561 Issued in MA

Practice address

1132 Westfield St
West Springfield, MA 01089-3878

Phone

(413) 592-1980

Fax

(413) 439-0096

NPI assigned

Jul 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Geriatric Psychiatry

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Comprehensive Psychiatric Care LLC

  • Geriatric Psychiatry Physician
  • Westborough, MA
  • NPI 1295015048
  Medicare reassignment NPD
• University of Massachusetts

  • Professional Counselor
  • Worcester, MA
  • NPI 1477618957
  NPD (past)
• Waterview Lodge LLC

  • Skilled Nursing Facility
  • Ashland, MA
  • NPI 1861865065
  NPD (past)
• Vohra Post Acute Care Physicians of the Northeast PA

  • Family Medicine Physician
  • Bryn Mawr, PA
  • NPI 1275969131
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1639108756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CRONIN BROOK WAY",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273951",
            "telephone_number": "508-917-8026",
            "fax_number": "508-917-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 WESTFIELD ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893878",
            "telephone_number": "413-592-1980",
            "fax_number": "413-439-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFTANYUK",
        "first_name": "OLGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "220561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "15-01529",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074389",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "466255",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J27847",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00289511",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Freeman, PT
• Morgan Froebel
• Amanda L Frye, BCBA
• Karl R Fuller, P.A.
• Vijay Bhaskar Reddy Gaddam, DMD
• Carrie Ann Gagne
• Galaxy Healthcare Afc LLC
• Jordyn H Galgay
• Galileo Ventures LLC
• Iliana Galvan, BCBA

• Geriatric Psychiatry Physician in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Geriatric Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.