BIRD OF PARADISE PSYCHOLOGICAL SERVICES PA
NPI 1184886624
Psychologist - Clinical in Tamarac, FL

Q: What is Bird Of Paradise Psychological Services PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 26, 2008

7051 W. COMMERCIAL BLVD, SUITE #3A, TAMARAC, FL 33319(954) 720-0412(954) 720-0824 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Bird Of Paradise Psychological Services Pa NPPES

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

BIRD OF PARADISE PSYCHOLOGICAL SERVICES PA (NPI 1184886624) is a healthcare organization registered as a clinical in Tamarac, Florida and active in the NPI registry since June 2008. The organization lists Karlin Antoinette Donegal, Owner, Ceo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184886624

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBIRD OF PARADISE PSYCHOLOGICAL SERVICES PA

Location Address7051 W. COMMERCIAL BLVD, SUITE #3ATamarac, FL 33319-2146

Mailing Address7051 W. Commercial Blvd, Suite #3aTamarac, FL 33319-2146 · (954) 720-0412 · Fax (954) 720-0824

Phone(954) 720-0412

Fax(954) 720-0824

Organization SubpartNo

Authorized OfficialKarlin Antoinette DonegalOwner, Ceo, Cfo · (954) 720-0412

Enumeration DateJune 26, 2008

Last NPPES UpdateOctober 2, 2014

✔ NPI 1184886624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY6151

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

7051 W. COMMERCIAL BLVD, Tamarac, FL 33319

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Other Identifiers 1

Medicare PINK2173FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bird Of Paradise Psychological Services Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bird Of Paradise Psychological Services PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Karlin Donegal, PH.D.

Clinical Psychologist

NPI 1770670549

7051 W. COMMERCIAL BLVD SUITE #3A
Tamarac, FL 33319

(954) 720-0412

✔ PECOS0.2 mi

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

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 Bird Of Paradise Psychological Services PA's NPI number?

The NPI number for Bird Of Paradise Psychological Services PA is 1184886624. It was assigned to this organization in the NPPES registry on June 26, 2008.

Where is Bird Of Paradise Psychological Services PA located?

Bird Of Paradise Psychological Services PA is located at 7051 W. Commercial Blvd Suite #3a, Tamarac, FL 33319. The listed phone number is (954) 720-0412.

What is Bird Of Paradise Psychological Services PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Bird Of Paradise Psychological Services PA enrolled in Medicare?

Yes. Bird Of Paradise Psychological Services PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bird Of Paradise Psychological Services PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Bird Of Paradise Psychological Services PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bird Of Paradise Psychological Services PA was last updated on October 2, 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.