DR. MAURICIO LASK KNIZEK PSY.D.
NPI 1558501973
Psychologist - Clinical in Berkeley, CA
About Dr. Mauricio Lask Knizek Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MAURICIO LASK KNIZEK PSY.D. (NPI 1558501973) is an individual clinical provider in Berkeley, California, licensed in California (PSY25955) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mauricio Lask Knizek Psy.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mauricio Lask Knizek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berkeley, CA 94702
- Reassigned Medicare billing, California enrollment
- 241 clinicians in this Medicare group
Oakland, CA 94609
- Reassigned Medicare billing, California enrollment
- 187 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BERKELEY, CA 94704
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 Mauricio Lask Knizek's NPI number?
The NPI number for Mauricio Lask Knizek is 1558501973. It was assigned to this individual provider in the NPPES registry on February 25, 2009.
Where is Mauricio Lask Knizek located?
Mauricio Lask Knizek practices at 2397 Shattuck Ave Ste 206, Berkeley, CA 94704. The listed phone number is (510) 863-1134.
What is Mauricio Lask Knizek's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mauricio Lask Knizek enrolled in Medicare?
Yes. Mauricio Lask Knizek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mauricio Lask Knizek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mauricio Lask Knizek reassigns Medicare benefits to 2 organizations: Lifelong Medical Care (Berkeley, CA) and La Clinica De La Raza Inc (Oakland, CA). Each 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 Mauricio Lask Knizek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mauricio Lask Knizek was last updated on January 2, 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.
# Dr. Mauricio Lask Knizek, PSY.D. · NPI 1558501973
Clinical provider in Berkeley, California. Individual provider, active in the CMS NPPES registry since February 25, 2009.
## Identity
- **NPI:** 1558501973 (Entity type: Individual)
- **Enumerated:** February 25, 2009
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY25955 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2397 SHATTUCK AVE STE 206, Berkeley, CA 94704-1567
- **Phone:** (510) 863-1134
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lifelong Medical Care (NPI 1689670002, Berkeley, CA); La Clinica De La Raza Inc (NPI 1346262292, Oakland, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558501973) · Data from the CMS NPPES public registry.