MKB Psychology PA

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MKB PSYCHOLOGY PA

Practice address

3700 Washington St Ste 304
Hollywood, FL 33021-8258

Phone

(954) 961-1500

NPI assigned

Apr 1, 2021

Last updated

Sep 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria Karilshtadt-Byk, PSYDNPI 1932358686

Title

President

Phone

(305) 778-5008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Karilshtadt-Byk, PSY.D.

  • Clinical Psychologist
  • Cooper City, FL
  • NPI 1932358686
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1245818053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SW 108TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333247171",
            "telephone_number": "305-778-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218258",
            "telephone_number": "954-961-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Griffin Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333283320",
            "country_code": "US",
            "telephone_number": "954-902-6140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MKB PSYCHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "KARILSHTADT-BYK",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-778-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.