Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renata Fayzullina

Individual provider Mental Health Counselor · NPI 1144098823

Renata Fayzullina is a Mental Health Counselor in New York, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1199 Park Ave
New York, NY 10128-1711
Phone: (212) 828-7473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1144098823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

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