Individual provider Active NPI

Judith Gulko, PHD

  • Clinical Psychologist
  • Coral Springs, FL
National Provider Identifier
1881754414
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5614 Issued in FL
Practice address
9900 W. Sample Rd
Suite 300
Coral Springs, FL 33065-4048
Phone
(954) 825-0461
Fax
(954) 825-0462
NPI assigned
Dec 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5614 FL
Clinical Psychologist 103TC0700X PY5614 FL Primary

Addresses

Primary practice location

9900 W. Sample Rd
Suite 300
Coral Springs, FL 33065-4048

Mailing address

9900 W. Sample Rd
Suite 300
Coral Springs, FL 33065-4048
Phone (954) 825-0461

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
I20050617000073 FL Practitioner - Clinical Psychologist 0446294805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9900 W Sample Rd
Suite 300
Coral Springs, FL 33065-4077
Phone (954) 825-0461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5614FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Judith Gulko PHD PA Clinical CurrentSince Apr 11, 2005 Accepting new patients

Locations

9900 W Sample Rd
Ste 300
Coral Springs, FL 33065
Phone (561) 765-5179

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1881754414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 W. SAMPLE RD",
            "address_2": "SUITE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654048",
            "telephone_number": "954-825-0461",
            "fax_number": "954-825-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 W. SAMPLE RD",
            "address_2": "SUITE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654048",
            "telephone_number": "954-825-0461",
            "fax_number": "954-825-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULKO",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5614",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.