PAVEL TULISOV
NPI 1548818354
Counselor in Pompano Beach, FL

Q: What is Pavel Tulisov's NPI number?

The NPI number for Pavel Tulisov is 1548818354. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Q: What is Pavel Tulisov's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Pavel Tulisov was last updated on November 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment

817 N DIXIE HWY, POMPANO BEACH, FL 33060(954) 785-8285 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 28, 2025, Aug 27, 2019 (2 updates tracked since 2019).

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About Pavel Tulisov NPPES

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

PAVEL TULISOV (NPI 1548818354) is an individual counselor in Pompano Beach, Florida, licensed in Florida (MH26635) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1548818354

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NamePAVEL TULISOV

Location Address817 N DIXIE HWYPompano Beach, FL 33060-5621

Mailing Address817 N Dixie HwyPompano Beach, FL 33060-5621

Phone(954) 785-8285

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 27, 2019

Last NPPES UpdateNovember 28, 20252 updates tracked since enumeration

NPPES CertifiedNovember 28, 2025

✔ NPI 1548818354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in FL · MH26635

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

817 N DIXIE HWY, Pompano Beach, FL 33060

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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

Pavel Tulisov 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 ID6608359732

PECOS Enrollment IDI20260317000993

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.

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.

THE PARENTS INFORMATION AND RESOURCE CENTER INC

Community/Behavioral Health