Active NPI
Viktor Yatsynovich, M.D.
- Psychiatry Physician
- Niagara Falls, NY
National Provider Identifier
1730323239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 018014
- Practice address
- 621 10TH St
Niagara Falls, NY 14301-1813 - Phone
- (716) 278-4000
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 018014 | ME | Primary |
Addresses
Primary practice location
621 10TH St
Niagara Falls, NY 14301-1813
Mailing address
5165 Fox Trce
Williamsville, NY 14221-4166
Phone (416) 500-7553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018014 | ME | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niagara Falls Memorial Medical Center | Current | Accepting new patients | |
| The Dale Association, Inc. | Current | Accepting new patients |
Locations
33 Ontario St
Lockport, NY 14094
Phone (716) 433-1937
620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402
621 10th St
North Falls, NY 14301
Phone (716) 278-4000
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
-
- Mental Health Counselor
- North Tonawanda, NY
- NPI 1962407783
-
- Obstetrics & Gynecology Physician
- Niagara Falls, NY
- NPI 1982659256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1730323239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5165 FOX TRCE",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214166",
"telephone_number": "416-500-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 10TH ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011813",
"telephone_number": "716-278-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATSYNOVICH",
"first_name": "VIKTOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-28",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "018014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.