Organization Active NPI

Natalia Kazakevich MD PA Inc

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1790178390
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P0742 Issued in TX
Legal business name
NATALIA KAZAKEVICH MD PA INC
Practice address
5314 Dashwood Dr
Houston, TX 77081-4603
Phone
(713) 600-9500
Fax
(281) 296-9044
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

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

Authorized official

Name
Dr. Natalia Kazakevich, MD
Title
Owner
Phone
(832) 384-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X P0742 TX Primary

Addresses

Primary practice location

5314 Dashwood Dr
Houston, TX 77081-4603

Mailing address

9074 Rocky Ridge Dr
Conroe, TX 77302-5615
Phone (281) 466-1891

Other identifiers 1

IdentifierTypeStateIssuer
P0742OtherTXTEXAS LICENSE

National Provider Directory

National Provider Directory

Locations

2180 North Loop W
Ste 450
Houston, TX 77018
Phone (832) 384-1560

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456012800000",
    "number": "1790178390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9074 ROCKY RIDGE DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773025615",
            "telephone_number": "281-466-1891",
            "fax_number": "281-296-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 DASHWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814603",
            "telephone_number": "713-600-9500",
            "fax_number": "281-296-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIA KAZAKEVICH MD PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2016-02-21",
        "status": "A",
        "authorized_official_last_name": "KAZAKEVICH",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-384-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P0742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "P0742",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; 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.