Individual provider Active NPI

Gila Kolodny, MHC, LSP

  • School Psychologist
  • Boynton Beach, FL
National Provider Identifier
1851673727
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1455 Issued in FL
Practice address
10815 Lake Wynds CT
Boynton Beach, FL 33437-3238
Phone
(646) 591-1105
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P73713 NY
School PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TS0200X SS1455 FL Primary

Addresses

Primary practice location

10815 Lake Wynds CT
Boynton Beach, FL 33437-3238

Mailing address

6959 136TH St
1A
Flushing, NY 11367-1955
Phone (646) 591-1105

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260611003606 FL Practitioner - Mental Health Counselor 9931671880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Living Memory Health IncGroup PAC ID 7517480577, 113 clinicians

Practice addresses (Care Compare)

5910 N Federal Hwy
Boca Raton, FL 33487-3935
Phone (786) 414-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P73713NYMDMental Health Counselor
SS1455FLMDSchool Psychologist

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.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1851673727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6959 136TH ST",
            "address_2": "1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671955",
            "telephone_number": "646-591-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 LAKE WYNDS CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373238",
            "telephone_number": "646-591-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODNY",
        "first_name": "GILA",
        "name_prefix": "Mrs.",
        "credential": "MHC, LSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P73713",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.