LYA KUSHNIROVICH PSY.D.
NPI 1891237087
Psychologist in Tampa, FL

Active since November 05, 2016PECOS Enrolled
3250 ZEMKE AVE BLDG 1078, TAMPA, FL 33621(813) 827-9170 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2018, Nov 5, 2016 (2 updates tracked since 2016).

About Lya Kushnirovich Psy.d. NPPES

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

LYA KUSHNIROVICH PSY.D. (NPI 1891237087) is an individual psychologist in Tampa, Florida, licensed in Florida (PY 9734) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Port Richey.

NPPES Registry Identity

NPI1891237087
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLYA KUSHNIROVICHCredential: PSY.D.
Location Address3250 ZEMKE AVE BLDG 1078Tampa, FL 33621-5023
Mailing Address4832 Cobia Dr Se, Apt BSaint Petersburg, FL 33705-4896 · (917) 837-1747
Sole ProprietorNo
Enumeration DateNovember 5, 2016
Last NPPES UpdateApril 10, 20182 updates tracked since enumeration
✔ NPI 1891237087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY 9734
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.
3250 ZEMKE AVE BLDG 1078, Tampa, FL 33621

Secondary Practice Location 1

Location 19912 Little RdNew Port Richey, FL 34654-3419 · Phone (727) 869-4100 · Fax (727) 869-4197

Other Identifiers 1

Other1386694701FL · James A. Haley Va

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lya Kushnirovich Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lya Kushnirovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, Florida enrollment
  • 72 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.

Other Providers at the Same Location NPPES 19

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

Radiology (Diagnostic Radiology)
3250 ZEMKE AVE BLDG 1078
TAMPA, FL 33621
Nurse Practitioner (Psychiatric/Mental Health)
3250 ZEMKE AVE BLDG 1078
TAMPA, FL 33621
Psychologist (Clinical)
3250 ZEMKE AVE BLDG 1078
TAMPA, FL 33621
Nurse Practitioner (Psychiatric/Mental Health)
3250 ZEMKE AVE BLDG 1078
TAMPA, FL 33621
Pharmacist (Ambulatory Care)
3250 ZEMKE AVE BLDG 1078
TAMPA, FL 33621
Dietitian, Registered
3250 ZEMKE AVE BLDG 1078
TAMPA, FL 33621
Family Medicine
3250 ZEMKE AVE BLDG 1078
TAMPA, FL 33621
Psychiatry & Neurology (Psychiatry)
3250 ZEMKE AVE BLDG 1078
TAMPA, FL 33621

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 Lya Kushnirovich's NPI number?

The NPI number for Lya Kushnirovich is 1891237087. It was assigned to this individual provider in the NPPES registry on November 5, 2016.

Where is Lya Kushnirovich located?

Lya Kushnirovich practices at 3250 Zemke Ave Bldg 1078, Tampa, FL 33621. The listed phone number is (813) 827-9170.

What is Lya Kushnirovich's specialty?

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

Is Lya Kushnirovich enrolled in Medicare?

Yes. Lya Kushnirovich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lya Kushnirovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lya Kushnirovich reassigns Medicare benefits to Doctor On Demand Professionals P C (San Francisco, CA). The 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 Lya Kushnirovich'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 Lya Kushnirovich was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.