IndividualActive
Nika Kalynovska
NPI 1215486402 · Clinical Psychologist · Provo, UT
Provider details
- NPI number
- 1215486402
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5214 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 E Center St
Provo, UT 84606-3554
Phone: (801) 344-4400
Street-level locationGet directions
Mailing address
15339 Saticoy St
Van Nuys, CA 91406-3345
Additional practice locations (3)
- 1000 W Carson StTorrance, CA 90502-2004Phone: (909) 653-0870
- 15339 Saticoy StVan Nuys, CA 91406Phone: (818) 267-2681Fax: (818) 267-2771
- 609 W Johnson Ave Ste 104Cheshire, CT 06410-4506Phone: (203) 272-6007
Registry dates
- Enumerated
- 2016-09-28
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.