Individual provider Active NPI

Elaine Karbonik, PSYD

  • Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1073670808
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6992 Issued in FL
Practice address
2717 E Oakland Park Blvd #202
Fort Lauderdale, FL 33306
Phone
(954) 290-7587
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6992 FL Primary

Addresses

Primary practice location

2717 E Oakland Park Blvd #202
Fort Lauderdale, FL 33306

Mailing address

2717 E Oakland Park Blvd #202
Fort Lauderdale, FL 33306
Phone (954) 290-7587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018001024 FL Practitioner - Clinical Psychologist 9032179635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2717 E Oakland Park Blvd
Suite 202
Fort Lauderdale, FL 33306-1663
Phone (954) 290-7587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6992FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Clinical & Forensic Psychology Inc CurrentSince Sep 10, 2004 Accepting new patients
Elaine Karbonik PSYD PA CurrentSince Sep 18, 2016 Accepting new patients

Locations

5337 Orange Dr
Davie, FL 33314
Phone (954) 284-0025

2717 E Oakland Park Blvd
Ste 202
Fort Lauderdale, FL 33306
Phone (954) 290-7587

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1073670808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND PARK BLVD #202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-290-7587",
            "fax_number": "954-285-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND PARK BLVD #202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-290-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBONIK",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "6992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.