NIKA KALYNOVSKA
NPI 1215486402
Psychologist - Clinical in Provo, UT

Q: What is Nika Kalynovska's NPI number?

The NPI number for Nika Kalynovska is 1215486402. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Q: What is Nika Kalynovska's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nika Kalynovska was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since September 28, 2016PECOS EnrolledAccepts Medicare Assignment

1300 E CENTER ST, PROVO, UT 84606(801) 344-4400 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Jul 11, 2019, Aug 13, 2018 and 1 more (4 updates tracked since 2016).

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About Nika Kalynovska NPPES

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

NIKA KALYNOVSKA (NPI 1215486402) is an individual clinical provider in Provo, Utah, licensed in Connecticut (5214) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215486402

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameNIKA KALYNOVSKA

Location Address1300 E CENTER STProvo, UT 84606-3554

Mailing Address15339 Saticoy StVan Nuys, CA 91406-3345 · (818) 267-2681 · Fax (818) 267-2771

Phone(801) 344-4400

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 28, 2016

Last NPPES UpdateSeptember 18, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1215486402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CT · 5214

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1300 E CENTER ST, Provo, UT 84606

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Secondary Practice Locations 3

Location 11000 W Carson StTorrance, CA 90502-2004 · Phone (909) 653-0870

Location 215339 Saticoy StVan Nuys, CA 91406 · Phone (818) 267-2681 · Fax (818) 267-2771

Location 3609 W Johnson Ave Ste 104Cheshire, CT 06410-4506 · Phone (203) 272-6007

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nika Kalynovska is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597269936

PECOS Enrollment IDI20250918001343

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84606 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

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

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 20

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

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