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ALEXANDRA TATUM-HANNAN MD
NPI 1871912402
Psychiatry & Neurology - Psychiatry in New York, NY

Active since April 10, 2014Opted out of Medicare · through Oct 9, 2027
115 E 61ST ST STE 11S, NEW YORK, NY 10065(347) 754-2950 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Apr 27, 2018 (2 updates tracked since 2018).

About Alexandra Tatum-hannan Md NPPES

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

ALEXANDRA TATUM-HANNAN MD (NPI 1871912402) is an individual psychiatry provider in New York, New York, licensed in New York (281166) and active in the NPI registry since April 2014. She has opted out of Medicare through October 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871912402
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameALEXANDRA TATUM-HANNANCredential: MD
Location Address115 E 61ST ST STE 11SNew York, NY 10065-8171
Mailing Address115 E 61st St Ste 11sNew York, NY 10065-8171
Phone(347) 754-2950
Sole ProprietorNo
Enumeration DateApril 10, 2014
Last NPPES UpdateApril 16, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1871912402 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 · 281166
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.
115 E 61ST ST STE 11S, New York, NY 10065
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Alexandra Tatum-hannan Md 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 October 9, 2019 through October 9, 2027.

Opt-Out Effective DateOctober 9, 2019
Opt-Out In Effect ThroughOctober 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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

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

MODERN TALK LCSW PLLC
Social Worker (Clinical)
115 E 61ST ST STE 11S
NEW YORK, NY 10065
New York County (917) 553-1870

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 Alexandra Tatum-hannan's NPI number?

The NPI number for Alexandra Tatum-hannan is 1871912402. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Alexandra Tatum-hannan located?

Alexandra Tatum-hannan practices at 115 E 61st St Ste 11S, New York, NY 10065. The listed phone number is (347) 754-2950.

What is Alexandra Tatum-hannan's specialty?

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

Is Alexandra Tatum-hannan enrolled in Medicare?

No. Alexandra Tatum-hannan has opted out of Medicare through October 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alexandra Tatum-hannan was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.