MKB PSYCHOLOGY PA
NPI 1245818053
Psychologist in Hollywood, FL

Active since April 01, 2021
3700 WASHINGTON ST STE 304, HOLLYWOOD, FL 33021(954) 961-1500 Get Directions Write a Review

NPPES record last updated: September 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2024, Apr 1, 2021 (2 updates tracked since 2021).

About Mkb Psychology Pa NPPES

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

MKB PSYCHOLOGY PA (NPI 1245818053) is a healthcare organization registered as a psychologist in Hollywood, Florida and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Davie and lists Maria Karilshtadt-byk, President, as its authorized official.

NPPES Registry Identity

NPI1245818053
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMKB PSYCHOLOGY PA
Location Address3700 WASHINGTON ST STE 304Hollywood, FL 33021-8258
Mailing Address1605 Sw 108th TerDavie, FL 33324-7171 · (305) 778-5008
Organization SubpartNo
Authorized OfficialMaria Karilshtadt-bykPresident · (305) 778-5008
Enumeration DateApril 1, 2021
Last NPPES UpdateSeptember 29, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2024
✔ NPI 1245818053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3700 WASHINGTON ST STE 304, Hollywood, FL 33021

Secondary Practice Location 1

Location 110400 Griffin Rd Ste 109Davie, FL 33328-3320 · Phone (954) 902-6140

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Mkb Psychology 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 Mkb Psychology PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1932358686
10400 GRIFFIN ROAD STE 109
Cooper City, FL 33328
(954) 902-6140
✔ PECOS✔ Accepts Medicare7.7 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 Mkb Psychology PA's NPI number?

The NPI number for Mkb Psychology PA is 1245818053. It was assigned to this organization in the NPPES registry on April 1, 2021.

Where is Mkb Psychology PA located?

Mkb Psychology PA is located at 3700 Washington St Ste 304, Hollywood, FL 33021. The listed phone number is (954) 961-1500.

What is Mkb Psychology PA's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mkb Psychology PA enrolled in Medicare?

Yes. Mkb Psychology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mkb Psychology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mkb Psychology 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 Mkb Psychology PA was last updated on September 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.