MEDICARE: DR. TATYANA SHCHUPAK PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	022069	NY

General Provider Information

NPI Number	:	1720343643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TATYANA SHCHUPAK PH.D.

Provider Business Mailing Address
First Line	:	1866 W 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2638
Country	:	US
Telephone Number	:	347-542-0711
Fax Number	:

Provider Business Practice Location Address
First Line	:	1866 W 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2638
Country	:	US
Telephone Number	:	347-542-0711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2012
Last Update Date	:	02/14/2025

Similar Medicare Providers

1902210735 — IRINA PRIMAK MS ED
Practice Location Address:

1852 W 5TH ST
BROOKLYN, NY
11223-2638

Practice Phone: 917-353-8264
Practice Fax:

1306659339 — TS PSYCHOLOGICAL SERVICES PLLC
Practice Location Address:

1866 W 5TH ST
BROOKLYN, NY
11223-2638

Practice Phone: 347-316-8056
Practice Fax:

1043208614 — MRS. POLINA ALTMAN RPH
Practice Location Address:

2638 E 63RD ST
BROOKLYN, NY
11234-6812

Practice Phone: 718-451-4401
Practice Fax:

1942253414 — DR. ILYA A BLOKH M.D.
Practice Location Address:

3319 KINGS HWY , SUITE 1J
BROOKLYN, NY
11234-2638

Practice Phone: 718-676-4067
Practice Fax: 718-676-4068

1609025634 — MISS EASTLYN STOKES LPN
Practice Location Address:

652 E 31ST ST
BROOKLYN, NY
11210-2638

Practice Phone: 718-434-8340
Practice Fax:

1245472877 — BETTINA TRISCARI MA, CCC-SLP
Practice Location Address:

2317 62ND ST
BROOKLYN, NY
11204-2638

Practice Phone: 917-602-0285
Practice Fax:

Directions to “ DR. TATYANA SHCHUPAK PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.