Shavulskiy NP in Psychiatry PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SHAVULSKIY NP IN PSYCHIATRY PC

Practice address

134 W End Ave Apt 5B
Brooklyn, NY 11235-4806

Phone

(646) 436-5471

NPI assigned

Feb 14, 2025

Organization subpart

No

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

Authorized official

Name

Mariya ShavulskiyNPI 1982257523

Title

Owner

Phone

(646) 436-5471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariya Shavulskiy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1982257523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1679378632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W END AVE APT 5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354806",
            "telephone_number": "646-436-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W END AVE APT 5B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354806",
            "telephone_number": "646-436-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVULSKIY NP IN PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "SHAVULSKIY",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-436-5471"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kahmaria Shaver
• Melissa Ruff Shaver, MSP, CCC-SLP
• Tene Shavers, MS OTRL
• Sigalit Shavit, FNP
• Bakhora Shavkatova
• Mariya Shavulskiy, PMHNP-BC
• Caroline Amina Shaw-Moss, LCAT,ATR
• Alana E. Shaw, MS OTR/L
• Brooke Shaw, SLP
• Casey Vanessa Shaw

• Multi-Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.