Irina Chernyshkova, MD

Individual provider Active NPI Psychiatry Physician · Glastonbury, CT

NPI 1891358255 · NPPES record last updated Jun 12, 2026

Key facts

NPI
1891358255
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
72335 (CT)
Practice address
78 Eastern Blvd
Glastonbury, CT 06033-4325
Phone
(860) 328-8929
Fax
(860) 935-8176
NPI assigned
Apr 20, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 21

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.

Medicare Care Compare profile

Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Connecticut (267 clinicians)

Practice addresses (Care Compare)

1000 Silver St
Middletown, CT 06457-3940
Phone (860) 262-5000

Medicare participation

Medicare fee-for-service enrollment
Enrolled (5 enrollments) in CT, PA, NC, AL, WV
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221110000425 CT Practitioner - Psychiatry 1355718974 Reassigns benefits to 1 organization
I20240821001148 PA Practitioner - Psychiatry 1355718974 Reassigns benefits to 1 organization
I20241022001547 NC Practitioner - Psychiatry 1355718974 Reassigns benefits to 1 organization
I20241210001445 AL Practitioner - Psychiatry 1355718974 Reassigns benefits to 1 organization
I20250113003691 WV Practitioner - Psychiatry 1355718974 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME169288FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut Current
since Aug 24, 2024
Accepting new patients
St Luke'S Physician Group Inc Psychiatry Current
since Aug 1, 2024
Accepting new patients
University of Alabama Health Services Foundation, PC. Current
since Nov 1, 2024
Accepting new patients
West Virginia University Medical Corporation Psychiatry Current
since Oct 20, 2024
Accepting new patients
Penn State Health Medical Group, LLC Current
since Jan 1, 2025
Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
State of Connecticut Current
since Aug 24, 2024
Accepting new patients
St Luke'S Physician Group Inc Current
since Aug 1, 2024
Accepting new patients
MCPC-11, LLC Current
since Aug 22, 2024
Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC Current
since Jan 1, 2025
Accepting new patients
West Virginia University Medical Corporation Current
since Oct 20, 2024
Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8230

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: ichernyshkova3943645@nychhc.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 72335 CT
Psychiatry Physician 2084P0800X 72335 CT Yes

Addresses

Primary practice location

78 Eastern Blvd
Glastonbury, CT 06033-4325

Mailing address

406 Birch Mountain Rd
Glastonbury, CT 06033-1905
Phone (208) 901-1640

Other practice location 1

1000 Silver St
Middletown, CT 06457-3911
Phone (860) 262-6481

Other providers in Glastonbury, CT

All providers in Glastonbury, CT · Psychiatry Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.