Julie Radchenko

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1394823 Issued in NY

Practice address

2729 E 23Rd St
Brooklyn, NY 11235-2809

Phone

(347) 623-8171

NPI assigned

Jun 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Jr Services Nyc LLC

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1245038355
  NPD Authorized official

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1770212599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352809",
            "telephone_number": "347-623-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCHENKO",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1394823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TF08227M",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "address",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "soap URL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct address",
            "address_1": "2729 E 23rd St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112352809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebeka Racz, WHNP
• Nicole Raczkowski, PA-C
• Samantha Raczynski, MS OTR/L
• Marleana Jacqueline Rad, MSED
• Bruce Edward Radachowsky, DO
• Jake Edward Radell, MD
• Carlen Rader, LCSW
• Nick C Rader
• Willa Radford, CASAC
• Palangat Radhakrishna, MD

• Behavior Analyst in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.