Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Michelle Rene Demenkow, PHD

Individual provider Clinical Psychologist · NPI 1063606614

Miss. Michelle Rene Demenkow, PHD is a Clinical Psychologist in Sunrise, Florida. Qualified in 2015, 11 years ago. Practices with Mcr Health Inc, a 146-clinician group and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

14201 W Sunrise Blvd Ste 208
Sunrise, FL 33323-3207
Phone: (954) 851-9690
Fax: (954) 851-9688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence ARNP9211884 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY6763 (FL)

Record details

NPI number1063606614
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 28, 2007
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice McR Health Inc — 146 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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