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TATYANA RYBAKOVA
NPI 1982615860
Psychiatry & Neurology - Child & Adolescent Psychiatry in La Grange, KY

Active since August 10, 2006PECOS Enrolled
2141 SPENCER CT, LA GRANGE, KY 40031(502) 589-8600(502) 589-8771 Get Directions Write a Review

NPPES record last updated: April 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tatyana Rybakova NPPES

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

TATYANA RYBAKOVA (NPI 1982615860) is an individual child & adolescent psychiatry provider in La Grange, Kentucky, licensed in Kentucky (39344) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982615860
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameTATYANA RYBAKOVA
Location Address2141 SPENCER CTLa Grange, KY 40031-6742
Mailing Address101 W Muhammad Ali BlvdLouisville, KY 40202-1954 · (502) 589-8600 · Fax (502) 589-8771
Phone(502) 589-8600
Fax(502) 589-8771
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateApril 17, 2014
✔ NPI 1982615860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in KY · 39344
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2141 SPENCER CT, La Grange, KY 40031
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Other Identifiers 2

Medicare ID-Type Unspecified0938425KY
Medicare UPINI37753KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatyana Rybakova is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tatyana Rybakova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seven Counties Services, Inc.
15 mi
Mental Health (Including Community Mental Health Center)
10401 LINN STATION RD STE 100
Louisville, KY 40223
  • Reassigned Medicare billing, Kentucky enrollment
  • 309 clinicians in this Medicare group
NPI 1598793671 (502) 589-8600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

CHELSEA NORTHRIP
Counselor
2141 SPENCER CT
LA GRANGE, KY 40031
Oldham County (502) 589-8600
CHRISTINA EDWARDS
Counselor
2141 SPENCER CT
LA GRANGE, KY 40031
Oldham County (502) 589-8600
DR. SCOTT THOMAS HEDGES MD
Psychiatry & Neurology (Psychiatry)
2141 SPENCER CT
LA GRANGE, KY 40031
Oldham County (502) 589-8600
TIFFANY BONKOFSKY
Social Worker
2141 SPENCER CT
LA GRANGE, KY 40031
Oldham County (502) 589-8600
LINDA MUDD
Counselor (Addiction (Substance Use Disorder))
2141 SPENCER CT
LA GRANGE, KY 40031
Oldham County (502) 589-8600
JULIE GUYTON LCSW
Social Worker (Clinical)
2141 SPENCER CT
LA GRANGE, KY 40031
Oldham County (502) 589-8600
VALENTINA JENKINS APRN
Nurse Practitioner (Psychiatric/Mental Health)
2141 SPENCER CT
LA GRANGE, KY 40031
Oldham County (502) 589-8600
RENEE GRADY
Social Worker (Clinical)
2141 SPENCER CT
LA GRANGE, KY 40031
Oldham County (502) 589-8600

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 Tatyana Rybakova's NPI number?

The NPI number for Tatyana Rybakova is 1982615860. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Tatyana Rybakova located?

Tatyana Rybakova practices at 2141 Spencer Ct, La Grange, KY 40031. The listed phone number is (502) 589-8600.

What is Tatyana Rybakova's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Tatyana Rybakova enrolled in Medicare?

Yes. Tatyana Rybakova is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tatyana Rybakova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatyana Rybakova reassigns Medicare benefits to Seven Counties Services, Inc. (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tatyana Rybakova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tatyana Rybakova was last updated on April 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.