Basic Information
| Provider Information | |||||||||
| NPI: | 1720291495 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ELKIN | ||||||||
| FirstName: | BELKYS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 145147 | ||||||||
| Address2: | |||||||||
| City: | CORAL GABLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331145147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059281466 | ||||||||
| FaxNumber: | 3055973863 | ||||||||
| Practice Location | |||||||||
| Address1: | 9600 NW 25TH ST STE PH | ||||||||
| Address2: | |||||||||
| City: | DORAL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33172 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055973861 | ||||||||
| FaxNumber: | 3055973863 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2007 | ||||||||
| LastUpdateDate: | 02/07/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103G00000X | PY7516 | FL | Y | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | 101YM0800X | MH7214 | FL | N | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.