Active NPI
Karlin Antoinette Donegal, PH.D.
- Clinical Psychologist
- Tamarac, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6151
- Practice address
- 7051 W. Commercial Blvd
Suite #3a
Tamarac, FL 33319-2146 - Phone
- (954) 720-0412
- Fax
- (954) 720-0824
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6151 | FL | Primary |
Addresses
Primary practice location
7051 W. Commercial Blvd
Suite #3a
Tamarac, FL 33319-2146
Mailing address
6610 N University Dr
Ste 220
Tamarac, FL 33321-4000
Phone (954) 720-0412
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bird of Paradise Psychological Services PA | Clinical | Current | Accepting new patients |
Locations
4300 N University Dr
Ste C203
Lauderhill, FL 33351
Phone (954) 742-5800
7051 W Commercial Blvd
Ste 3A
Lauderhill, FL 33319
Phone (954) 720-0412
6635 W Commercial Blvd
Ste 117
Tamarac, FL 33319
Phone (954) 522-3360
6610 N University Dr
Ste 220
Tamarac, FL 33321
Phone (954) 720-0412
7301 N University Dr
Ste 201
Tamarac, FL 33321
Phone (954) 720-0412
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Tamarac, FL
- NPI 1184886624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1770670549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6610 N UNIVERSITY DR",
"address_2": "STE 220",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214000",
"telephone_number": "954-720-0412",
"fax_number": "954-720-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7051 W. COMMERCIAL BLVD",
"address_2": "SUITE #3A",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333192146",
"telephone_number": "954-720-0412",
"fax_number": "954-720-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONEGAL",
"first_name": "KARLIN",
"middle_name": "ANTOINETTE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.