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MS. MAIA MAMAMTAVRISHVILI M.D.
NPI 1700901600
Psychiatry & Neurology - Psychiatry in New York, NY

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
212 W 71ST ST, SUITE#3, NEW YORK, NY 10023(917) 815-0434(718) 862-4862 Get Directions Write a Review

NPPES record last updated: May 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Maia Mamamtavrishvili M.d. NPPES

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

MS. MAIA MAMAMTAVRISHVILI M.D. (NPI 1700901600) is an individual psychiatry provider in New York, New York, licensed in New York (234336) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1700901600
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMS. MAIA MAMAMTAVRISHVILICredential: M.D.
Location Address212 W 71ST ST, SUITE#3New York, NY 10023-3725
Mailing Address15900 Riverside Dr W, 3g70New York, NY 10032-1004 · (212) 543-9395
Phone(917) 815-0434
Fax(718) 862-4862
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateMarch 20, 2007
Last NPPES UpdateMay 29, 2009
✔ NPI 1700901600 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 · 234336
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.
212 W 71ST ST, New York, NY 10023
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Other Identifiers 2

Medicaid234336NY
Medicare UPINOTH000NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Maia Mamamtavrishvili M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800958802
PECOS Enrollment IDI20081230000244
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HELEN SPERANSKY LCSW-R
Social Worker
212 W 71ST ST
NEW YORK, NY 10023
New York County (212) 362-6820
JESSICA DEUTSCH LCSW
Social Worker (Clinical)
212 W 71ST ST
NEW YORK, NY 10023
New York County (917) 780-2171

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 Maia Mamamtavrishvili's NPI number?

The NPI number for Maia Mamamtavrishvili is 1700901600. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Maia Mamamtavrishvili located?

Maia Mamamtavrishvili practices at 212 W 71st St Suite#3, New York, NY 10023. The listed phone number is (917) 815-0434.

What is Maia Mamamtavrishvili's specialty?

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

Is Maia Mamamtavrishvili enrolled in Medicare?

Yes. Maia Mamamtavrishvili is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maia Mamamtavrishvili accept?

Health plans from Providence Health Plan list Maia Mamamtavrishvili 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 Maia Mamamtavrishvili was last updated on May 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.