Provider Demographics
NPI:1639473986
Name:HYKIN, SCOTT POLLAK (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:POLLAK
Last Name:HYKIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6917 ARLINGTON RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5211
Mailing Address - Country:US
Mailing Address - Phone:301-801-4543
Mailing Address - Fax:
Practice Address - Street 1:6917 ARLINGTON RD
Practice Address - Street 2:SUITE 225
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5211
Practice Address - Country:US
Practice Address - Phone:301-801-4543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-30
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04203103T00000X, 103TC0700X, 103TC2200X
VA0810004674103TC2200X, 103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent