Individual provider Active NPI

Kaylen Zebrowski Fitzpatrick, PSYD

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1346966116
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2022038977 Issued in MO
Practice address
200 S Andrews Ave
Ste 504 #1073
Fort Lauderdale, FL 33301-1864
Phone
(954) 546-1920
NPI assigned
Oct 13, 2022
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY12175 FL
Clinical Psychologist 103TC0700X 026616 NY
Clinical Psychologist 103TC0700X 2022038977 MO Primary

Addresses

Primary practice location

200 S Andrews Ave
Ste 504 #1073
Fort Lauderdale, FL 33301-1864

Mailing address

200 S Andrews Ave
Ste 504 #1073
Fort Lauderdale, FL 33301-2066
Phone (954) 546-1920

Other names 1

  • Kaylen Shanei Rodriguez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231215001748 MO Practitioner - Clinical Psychologist 7517316573 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY12175FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Dec 8, 2023 Accepting new patients
Compass Health, Inc CurrentSince Dec 8, 2023 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

3501 Berrywood Dr
Columbia, MO 65201
Phone (573) 874-2851

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1346966116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S ANDREWS AVE",
            "address_2": "STE 504 #1073",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012066",
            "telephone_number": "954-546-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ANDREWS AVE",
            "address_2": "STE 504 #1073",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011864",
            "telephone_number": "954-546-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "KAYLEN",
        "middle_name": "ZEBROWSKI",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12175",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "026616",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2022038977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEN",
            "last_name": "RODRIGUEZ",
            "middle_name": "SHANEI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.