Mariya Shavulskiy, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F402584-1 Issued in NY

Practice address

26 Court St Ste 808
Brooklyn, NY 11242-1108

Phone

(718) 522-3600

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Good Health Psychiatric Services PCGroup PAC ID 2365789674, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Good Health Psychiatric Services PC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1215213806
  Medicare reassignment Care Compare group NPD
• Shavulskiy NP in Psychiatry PC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1679378632
  Medicare reassignment NPD Authorized official
• East Point Medical PC

  • Family Medicine Physician
  • Maspeth, NY
  • NPI 1518571751

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY, Psychiatric/Mental Health

  Medicare reassignment NPD
• Rudoy Medical PC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1497218762
  NPD

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1982257523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 808",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421108",
            "telephone_number": "718-522-3600",
            "fax_number": "718-522-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 808",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421108",
            "telephone_number": "718-522-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVULSKIY",
        "first_name": "MARIYA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402584-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ruff Shaver, MSP, CCC-SLP
• Tene Shavers, MS OTRL
• Sigalit Shavit, FNP
• Bakhora Shavkatova
• Shavulskiy NP in Psychiatry PC
• Caroline Amina Shaw-Moss, LCAT,ATR
• Alana E. Shaw, MS OTR/L
• Brooke Shaw, SLP
• Casey Vanessa Shaw
• Chaya Michal Shaw

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.