DMITRIY KAZAKOV PHD
NPI 1336804541
Clinical Neuropsychologist in Port Chester, NY

NPI Status: Active since November 02, 2021

Contact Information

10 PEARL ST FL 2
PORT CHESTER, NY
ZIP 10573
Phone: (914) 265-2762

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  • Individual
  • Male
  • Years of Experience 7
  • Clinical Neuropsychologist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DMITRIY KAZAKOV

This page provides the complete NPI Profile along with additional information for Dmitriy Kazakov, a provider established in Port Chester, New York with a medical specialization in Clinical Neuropsychologist and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1336804541 assigned on November 2021. The practitioner's primary taxonomy code is 103G00000X with license number 2997224 (NY). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1336804541
Provider Name
DMITRIY KAZAKOV PHD
Gender
Male
Entity Type
Individual
Location Address
10 PEARL ST FL 2 PORT CHESTER, NY 10573
Location Phone
(914) 265-2762
Mailing Address
10 PEARL ST FL 2 PORT CHESTER, NY 10573
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
11-02-2021
Last Update Date
08-01-2024
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Location Map

Secondary Locations

  • 609 W Johnson Ave Ste 104
    Cheshire, CT 06410
    (203) 272-6007

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
2997224
License State
NY
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

4127 (CT)
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

4127 (CT)
3103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

2997224 (NY)

Medicare Participation & PECOS Enrollment Status

Dmitriy Kazakov is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Dmitriy Kazakov is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1759774185

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220208001835

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of psychological or neuropsychological test, each additional 30 minutes

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

This service was performed 63 times for 18 patients

Administration of psychological or neuropsychological test, first 30 minutes

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

This service was performed 18 times for 18 patients

Evaluation of neuropsychological test, each additional hour

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

This service was performed 74 times for 20 patients

Evaluation of neuropsychological test, first hour

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

This service was performed 32 times for 20 patients

Psychiatric diagnostic evaluation

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

This service was performed 19 times for 19 patients

Reviews for DMITRIY KAZAKOV PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336804541
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366160858
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 6 + 0 + 8 + 5 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1336804541 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

SARA NICOLE BEVERLY LCSW

Social Worker

(Clinical)

10 PEARL ST FL 2
PORT CHESTER, NY
ZIP 10573

(914) 265-2762

DR. VALENTINA SHEHU PH.D.

Clinical Neuropsychologist

10 PEARL ST FL 2
PORT CHESTER, NY
ZIP 10573

(845) 279-5908

SAMANTHA RATHE LMSW

Social Worker

10 PEARL ST FL 2
PORT CHESTER, NY
ZIP 10573

(914) 265-2762

DR. LYANNE RACHELLE YOZAWITZ PHD

Psychologist

(Clinical)

10 PEARL ST FL 2
PORT CHESTER, NY
ZIP 10573

(914) 265-2762

REBECCA HANNAH ATLAS DUNN LCSW

Social Worker

(Clinical)

10 PEARL ST FL 2
PORT CHESTER, NY
ZIP 10573

(914) 265-2762

DR. BETH AUDREY WEINER PSYD

Psychologist

(Clinical)

10 PEARL ST FL 2
PORT CHESTER, NY
ZIP 10573

(845) 279-5908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336804541, enumerated as an "individual" on November 02, 2021.

The provider is located at 10 PEARL ST FL 2 PORT CHESTER, NY 10573 and the phone number is (914) 265-2762.

Clinical Neuropsychologist with taxonomy code 103G00000X.