Tatyana Mishin, M.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

541801111 Issued in NY

Practice address

47 Tanager CT
Wayne, NJ 07470-8435

Phone

(347) 341-3104

Fax

(862) 264-2372

NPI assigned

Nov 28, 2012

Last updated

Nov 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Tatyana Mishyna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tatyana's Kids, Inc.

  • Early Intervention Provider Agency
  • Wayne, NJ
  • NPI 1811380389
  NPD (past) Authorized official

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1689919839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 TANAGER CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708435",
            "telephone_number": "347-341-3104",
            "fax_number": "862-264-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 TANAGER CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708435",
            "telephone_number": "347-341-3104",
            "fax_number": "862-264-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHIN",
        "first_name": "TATYANA",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "541801111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE DEPARTMENT OF EDUCATION",
            "identifier": "541801111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATYANA",
            "last_name": "MISHYNA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mindframe, LLC
• Mindful Intentions
• Ashley Minetti
• Angela Minhas, DC
• Marie Minichiello, LCSW
• Ken Edward Mishler, MD
• Kimberly Mittman
• MMM Health Services, Inc. (Mental Wellness Center MA)
• Mobile Diagnostic Services Inc
• Mobile Diagnostic Services Inc

• Specialist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.