Individual provider Active NPI

Scott Pollak Hykin, PSY.D.

  • Psychologist
  • Bethesda, MD
National Provider Identifier
1639473986
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04203 Issued in MD
Practice address
6917 Arlington Rd
Suite 225
Bethesda, MD 20814-5211
Phone
(301) 801-4543
NPI assigned
Dec 30, 2010
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 04203 MD Primary
Psychologist 103T00000X 0810004674 VA
Clinical Psychologist 103TC0700X 04203 MD
Clinical Psychologist 103TC0700X 0810004674 VA
Clinical Child & Adolescent Psychologist 103TC2200X 04203 MD
Clinical Child & Adolescent Psychologist 103TC2200X 0810004674 VA

Addresses

Primary practice location

6917 Arlington Rd
Suite 225
Bethesda, MD 20814-5211

Mailing address

6917 Arlington Rd
Suite 225
Bethesda, MD 20814-5211
Phone (301) 801-4543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 19, 2025 through Dec 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04203MDMDPsychologist
0810004674VAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1639473986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 ARLINGTON RD",
            "address_2": "SUITE 225",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145211",
            "telephone_number": "301-801-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 ARLINGTON RD",
            "address_2": "SUITE 225",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145211",
            "telephone_number": "301-801-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYKIN",
        "first_name": "SCOTT",
        "middle_name": "POLLAK",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-30",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04203",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810004674",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04203",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004674",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "04203",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VA",
            "license": "0810004674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.