Individual provider Active NPI

Carlos Abel Satulovsky, MD

  • Psychiatry Physician
  • Lake Park, FL
National Provider Identifier
1790773281
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME93652 Issued in FL
Practice address
330 N Federal Hwy # 2&3
Lake Park, FL 33403-3531
Phone
(954) 529-3935
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME93652 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME93652 FL

Addresses

Primary practice location

330 N Federal Hwy # 2&3
Lake Park, FL 33403-3531

Mailing address

1250 Wiley St
Hollywood, FL 33019-2248
Phone (954) 961-1500

Other practice location 1

3700 Washington St Ste 304
Hollywood, FL 33021-8258
Phone (954) 961-1500

Other identifiers 1

IdentifierTypeStateIssuer
273405200MedicaidFL

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000318 FL Practitioner - Psychiatry 1850323080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Years Behavioral Center CorpGroup PAC ID 1951706662, 5 clinicians
Hope 2020 IncGroup PAC ID 3274989520, 6 clinicians

Practice addresses (Care Compare)

12955 SW 42ND St
Suite 2
Miami, FL 33175-2928
Phone (786) 491-4947

1301 Palm Ave
Unit 102
Hialeah, FL 33010-3461
Phone (305) 497-2625

3421 SW 107TH Ave
Miami, FL 33165-3632
Phone (786) 474-2216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME93652FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope 2020 Inc CurrentSince Mar 1, 2025 Accepting new patients
Map to Health, LLC Past Accepting new patients
Bewell Rehabilitation and Counseling Group Inc PastSince Jun 14, 2018 Accepting new patients
New Era Health Center Inc Psychiatry PastSince Nov 1, 2014 Accepting new patients
Maya Physical Therapy, Inc Past Accepting new patients

Locations

3421 SW 107th Ave
Miami, FL 33165
Phone (305) 559-6687

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1790773281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WILEY ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192248",
            "telephone_number": "954-961-1500",
            "fax_number": "954-961-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N FEDERAL HWY # 2&3",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033531",
            "telephone_number": "954-529-3935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Washington St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218258",
            "country_code": "US",
            "telephone_number": "954-961-1500",
            "fax_number": "954-961-7942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATULOVSKY",
        "first_name": "CARLOS",
        "middle_name": "ABEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME93652",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME93652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273405200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

Verify at the official NPI Registry.