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

Nika Kalynovska

Individual provider Clinical Psychologist · NPI 1215486402

Nika Kalynovska is a Clinical Psychologist in Provo, Utah. Qualified in 2023, 3 years ago. Practices with Northeast Neuropsychology LLC, a 17-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1300 E Center St
Provo, UT 84606-3554
Phone: (801) 344-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1000 W Carson St, Torrance, CA 90502-2004 — (909) 653-0870
  • 15339 Saticoy St, Van Nuys, CA 91406 — (818) 267-2681
  • 609 W Johnson Ave Ste 104, Cheshire, CT 06410-4506 — (203) 272-6007

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5214 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215486402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Neuropsychology Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Provo