Individual provider Active NPI

Yury Yaroslavsky, M.D.

  • Psychiatry Physician
  • York, PA
National Provider Identifier
1700810934
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD428709 Issued in PA
Practice address
401 Carlisle Ave
York, PA 17404-3241
Phone
(717) 792-2976
Fax
(717) 792-2815
NPI assigned
Jul 11, 2006
Last updated
Sep 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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 MD428709 PA Primary

Addresses

Primary practice location

401 Carlisle Ave
York, PA 17404-3241

Mailing address

401 Carlisle Ave
York, PA 17404-3241
Phone (717) 792-2976

Other identifiers 1

IdentifierTypeStateIssuer
1016970630001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060731000294 PA Practitioner - Psychiatry 7113930611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Healthcare CorporationGroup PAC ID 1456448851, 5 clinicians

Practice addresses (Care Compare)

822 Marietta Ave
Lancaster, PA 17603-3239
Phone (717) 399-8288

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD428709PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Corporation CurrentSince Aug 1, 2021 Accepting new patients
Community Services Group, Inc. PastSince Oct 1, 2002 Accepting new patients

Locations

822 Marietta Ave
Lancaster, PA 17603
Phone (717) 391-2660

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1700810934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CARLISLE AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174043241",
            "telephone_number": "717-792-2976",
            "fax_number": "717-792-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CARLISLE AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174043241",
            "telephone_number": "717-792-2976",
            "fax_number": "717-792-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROSLAVSKY",
        "first_name": "YURY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD428709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016970630001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.