Individual provider Active NPI

Tatsiana I. Razzhavaikina, PH.D.

  • Psychologist
  • Denver, CO
National Provider Identifier
1710165121
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
769 Issued in NE
Practice address
8873 E 29TH PL
Denver, CO 80238-2827
Phone
(402) 770-3895
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 769 NE Primary

Addresses

Primary practice location

8873 E 29TH PL
Denver, CO 80238-2827

Mailing address

8873 E 29TH PL
Denver, CO 80238-2827
Phone (402) 770-3895

Other identifiers 1

IdentifierTypeStateIssuer
10025654200MedicaidNE

Other names 1

  • Dr. Tanya I. Razzhavaikina Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
769NEMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1710165121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8873 E 29TH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382827",
            "telephone_number": "402-770-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8873 E 29TH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382827",
            "telephone_number": "402-770-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZHAVAIKINA",
        "first_name": "TATSIANA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025654200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "RAZZHAVAIKINA",
            "middle_name": "I.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.