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IRINA KHETSURIANI
NPI 1457570772
Psychiatry & Neurology - Psychiatry in Bronx, NY

Active since April 25, 2007
1000 WATERS PL, BRONX, NY 10461(718) 239-3600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Irina Khetsuriani NPPES

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

IRINA KHETSURIANI (NPI 1457570772) is an individual psychiatry provider in Bronx, New York, licensed in New York (238807) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1457570772
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameIRINA KHETSURIANI
Location Address1000 WATERS PLBronx, NY 10461-2701
Mailing Address3750 Hudson Manor Ter Apt 3feBronx, NY 10463-1130
Phone(718) 239-3600
Sole ProprietorNo
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457570772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 238807
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1000 WATERS PL, Bronx, NY 10461
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Other Identifiers 1

Medicaid238807NY

Other Providers at the Same Location NPPES 10

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

FRANCES ELIZABETH LYSHAK-STELZER LCAT, CASAC
Art Therapist
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3710
NYS OFFICE OF MENTAL HEALTH
Clinic/Center (Adult Mental Health)
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3600
OMH BRONX DAY TREAT
Psychiatric Hospital
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3639
HARRY H TONG RPH
Pharmacist
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3797
NYCCC
Preferred Provider Organization
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3600
RICHARD E LANE
Psychiatry & Neurology (Psychiatry)
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3600
DR. ENOSAKHARE BERNARD OMORUYI M.D.,
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3639
LAURIE NUSSER RPH
Pharmacist
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3856

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irina Khetsuriani's NPI number?

The NPI number for Irina Khetsuriani is 1457570772. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Irina Khetsuriani located?

Irina Khetsuriani practices at 1000 Waters Pl, Bronx, NY 10461. The listed phone number is (718) 239-3600.

What is Irina Khetsuriani's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Irina Khetsuriani was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.