Individual provider Active NPI

Elena Borisovna Galkina, M.D.

  • Psychiatry Physician
  • Queens Village, NY
National Provider Identifier
1780726380
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
242337-1 Issued in NY
Practice address
8045 Winchester Blvd
BLD 40, 2a
Queens Village, NY 11427-2193
Phone
(718) 264-5030
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 242337-1 NY Primary

Addresses

Primary practice location

8045 Winchester Blvd
BLD 40, 2a
Queens Village, NY 11427-2193

Mailing address

218 Rangeway Rd
Unit 261
North Billerica, MA 01862-2027
Phone (978) 387-7494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080229000100 MA Practitioner - Psychiatry 1153405139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WP Acquisition Sub LLCGroup PAC ID 7416291232, 10 clinicians

Practice addresses (Care Compare)

76 Summer St
Haverhill, MA 01830-5814
Phone (978) 556-6286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242337-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WP Acquisition Sub LLC CurrentSince Feb 1, 2019 Accepting new patients
WP Acquisition Sub LLC Psychiatry CurrentSince Feb 1, 2019 Accepting new patients

Locations

76 Summer St
Haverhill, MA 01830
Phone (978) 258-4734

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780726380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 RANGEWAY RD",
            "address_2": "UNIT 261",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622027",
            "telephone_number": "978-387-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 WINCHESTER BLVD",
            "address_2": "BLD 40, 2A",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272193",
            "telephone_number": "718-264-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALKINA",
        "first_name": "ELENA",
        "middle_name": "BORISOVNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "242337-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.