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Deactivated NPI 1194792499 Deactivated / Inactive NPI Male Practitioner

Dr. Walter Katkovsky , PhD

Psychologist • Winter Haven, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Walter Katkovsky has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 06, 2006
NPI Deactivation Date May 01, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Walter Katkovsky, PhD was a registered Psychologist practicing in Winter Haven, FL. Throughout an active medical career spanning 18 years, Dr. Katkovsky provided care at the practice location at 200 AVE F NE until profile deactivation on 2024-05-01.

Practice Location & Contact Primary Location

Practice Address

200 Ave F Ne
Winter Haven Hospital Inc

Winter Haven, FL 33881

Telephone 8632931121
Fax 8632916773
Associated Practice Facility / Clinic
🏢 Winter Haven Hospital Inc Facility NPI 1477599975

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Winter Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Winter Haven, FL (2327 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY5089

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003859349

Doctor of Medicine (M.D.)

NPI 1003944083

Doctor of Medicine (M.D.)

Erin Swails , BS

Case Manager/Care Coordinator

NPI 1013196542

Bachelor of Science

Amanda Dillingham , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013351345

Certified Registered Nurse Anesthetist

Fernando Dager , C-AA

Anesthesiologist Assistant

NPI 1013452135

CAA

Danny Keaton , LMHC

Counselor - Mental Health

NPI 1033387857

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 01, 2024

Record deactivated on May 01, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 200 AVE F NE, WINTER HAVEN HOSPITAL INC, WINTER HAVEN, FL 33881 (Tel: 8632931121)

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Updated Business Mailing Address July 08, 2007

Registered at 200 AVE F NE, WINTER HAVEN HOSPITAL INC, WINTER HAVEN, FL 33881 (Tel: 8632931121)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WALTER KATKOVSKY, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PY5089 in FL)

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Initial NPI Registration & Enumeration March 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194792499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2006
Last Update: July 08, 2007
Deactivation Date: May 01, 2024

Mailing Address

200 Ave F Ne, Winter Haven Hospital Inc

Winter Haven, FL 33881

Phone: 8632931121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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