Tania Koolik, PHD, PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY5478 Issued in FL

Legal business name

TANIA KOOLIK, PHD, PA

Practice address

16244 S Military TRL
460
Delray Beach, FL 33484-6534

Phone

(561) 666-8591

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Tania Koolik, DRNPI 1871813667

Title

President

Phone

(561) 883-5959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tania Koolik, PH.D.

  • Psychologist
  • Delray Beach, FL
  • NPI 1871813667
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1366701120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 GLADES RD",
            "address_2": "320",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344167",
            "telephone_number": "561-883-5959",
            "fax_number": "561-883-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "address_2": "460",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-666-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANIA KOOLIK, PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "KOOLIK",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-883-5959",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ape Tambongco
• Tampa General Provider Network Inc
• Lovelle Palomeno Tampoco, PT
• Kim Gepana Tan, P.T.
• Janique Tang How
• Kari Tannenbaum, M.D.
• Ernesto Tano, MD
• Mirjana Tasic-Pantic, RPH, CPH
• Tamara Tater
• Allen James Tauritz, D.P.M

• Psychologist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.