MR. RUSLAN BERDICHEVSKY NP
NPI 1700120946
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI
NPI Status: Active since November 10, 2012
Contact Information
166 VALLEY ST STE 6M103
PROVIDENCE, RI
ZIP 02909
Phone: (401) 566-8175
Fax: (401) 340-1697
- Individual
- Male
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
- Opted-Out Medicare
About RUSLAN BERDICHEVSKY
This page provides the complete NPI Profile along with additional information for Ruslan Berdichevsky, a provider established in Providence, Rhode Island with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1700120946 assigned on November 2012. The practitioner's primary taxonomy code is 363LP0808X with license number APRN.CNP.0027653 (OH). The provider is registered as an individual and his NPI record was last updated February 2026.
- NPI
- 1700120946
- Provider Name
- MR. RUSLAN BERDICHEVSKY NP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 166 VALLEY ST STE 6M103 PROVIDENCE, RI 02909
- Location Phone
- (401) 566-8175
- Location Fax
- (401) 340-1697
- Mailing Address
- 3335 BAYFIELD BLVD OCEANSIDE, NY 11572
- Mailing Phone
- (401) 566-8175
- Mailing Fax
- (401) 340-1697
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-10-2012
- Last Update Date
- 02-16-2026
- Code Navigator
A nurse practitioner (NP) like Ruslan Berdichevsky is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ruslan Berdichevsky opted out of Medicare effective on 09-23-2022 until 09-23-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 2409 Avenue Z
Brooklyn, NY 11235
(401) 566-8175
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
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- APRN.CNP.0027653
- License State
- OH
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) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | APRN.CNP.0027653 (OH) |
| 2 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | APRN.CNP.0027653 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-23-2022
Opt-Out End Date: 09-23-2026
Eligible to Order and Refer? No
Reviews for MR. RUSLAN BERDICHEVSKY NP
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1700120946, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PROVIDENCE, RI 02909
PROVIDENCE, RI 02909
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700120946, enumerated as an "individual" on November 10, 2012.
The provider is located at 166 VALLEY ST STE 6M103 PROVIDENCE, RI 02909 and the phone number is (401) 566-8175.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
The provider might be accepting Accepts: Harvard Pilgrim Health Care and Providence Health. Please consult your insurance carrier or call the provider to verify.
