MR. RUSLAN BERDICHEVSKY NP
NPI 1700120946
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI
About Mr. Ruslan Berdichevsky Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RUSLAN BERDICHEVSKY NP (NPI 1700120946) is an individual psychiatric/mental health provider in Providence, Rhode Island, licensed in Ohio (APRN.CNP.0027653) and active in the NPI registry since November 2012. He has opted out of Medicare through September 23, 2026 and maintains a secondary practice location in Brooklyn.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Ruslan Berdichevsky Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 23, 2022 through September 23, 2026.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVIDENCE, RI 02909
PROVIDENCE, RI 02909
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 Ruslan Berdichevsky's NPI number?
The NPI number for Ruslan Berdichevsky is 1700120946. It was assigned to this individual provider in the NPPES registry on November 10, 2012.
Where is Ruslan Berdichevsky located?
Ruslan Berdichevsky practices at 166 Valley St Ste 6m103, Providence, RI 02909. The listed phone number is (401) 566-8175.
What is Ruslan Berdichevsky's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ruslan Berdichevsky enrolled in Medicare?
No. Ruslan Berdichevsky has opted out of Medicare through September 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Ruslan Berdichevsky accept?
Health plans from Harvard Pilgrim Health Care and Providence Health Plan list Ruslan Berdichevsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ruslan Berdichevsky was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Mr. Ruslan Berdichevsky, NP · NPI 1700120946
Psychiatric/Mental Health physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since November 10, 2012.
## Identity
- **NPI:** 1700120946 (Entity type: Individual)
- **Enumerated:** November 10, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN.CNP.0027653 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 166 VALLEY ST STE 6M103, Providence, RI 02909-2458
- **Phone:** (401) 566-8175 · **Fax:** (401) 340-1697
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 23, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** February 16, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1700120946) · Data from the CMS NPPES public registry.