RENATA FAYZULLINA - NPI 1144098823 - Counselor in New York, NY

The NPI number for Renata Fayzullina is 1144098823. It was assigned to this individual provider in the NPPES registry on December 13, 2023.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Renata Fayzullina was last updated on August 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Renata Fayzullina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENATA FAYZULLINA (NPI 1144098823) is an individual mental health provider in New York, New York and active in the NPI registry since December 2023.

NPI1144098823

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameRENATA FAYZULLINA

Location Address1199 PARK AVENew York, NY 10128-1711

Mailing Address1199 Park AveNew York, NY 10128-1711 · (212) 828-7473

Sole ProprietorNo

Enumeration DateDecember 13, 2023

Last NPPES UpdateAugust 19, 2025

NPPES CertifiedAugust 19, 2025

✔ NPI 1144098823 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1199 PARK AVE, New York, NY 10128

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist

1199 PARK AVE, SUITE 1K
NEW YORK, NY 10128

New York County (212) 860-3368

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1199 PARK AVE, SUITE 1F
NEW YORK, NY 10128

New York County (212) 876-7333

Internal Medicine (Cardiovascular Disease)

1199 PARK AVE, SUITE 1F
NEW YORK, NY 10128

New York County (212) 876-7045

Nurse Practitioner (Psychiatric/Mental Health)