MR. RUSLAN BERDICHEVSKY NP NPI 1700120946

NPI Information

NPI: 1700120946
Provider Name: MR. RUSLAN BERDICHEVSKY, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
166 VALLEY ST STE 6M103
PROVIDENCE, RI
ZIP 02909
Phone: (401) 566-8175
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MR. Ruslan Berdichevsky, NP is a psychiatric/mental health nurse practitioner in Providence, RI. MR. Ruslan Berdichevsky, NP NPI is 1700120946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

166 VALLEY ST STE 6M103
PROVIDENCE, RI
ZIP 02909-458
Phone: (401) 566-8175

The enumeration date for this NPI number is 11/10/2012 and was last updated on 9/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		APRN.CNP.0027653	OHIO	No
2	363LP0200X	Nurse Practitioner	Pediatrics	APRN.CNP.0027653	OHIO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN.CNP.0027653	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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