JENNIFER TICKAL, PSY.D., P.A.
NPI 1023477221
Psychologist - Clinical in Maitland, FL

Q: What is Jennifer Tickal, Psy.D., P.A.'s NPI number?

The NPI number for Jennifer Tickal, Psy.D., P.A. is 1023477221. It was assigned to this organization in the NPPES registry on February 16, 2016.

Q: What is Jennifer Tickal, Psy.D., P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since February 16, 2016

1555 N MAITLAND AVE, MAITLAND, FL 32751(813) 563-5676 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 18, 2021, Feb 3, 2020, Feb 6, 2019 and 3 more (6 updates tracked since 2016).

On this page

About Jennifer Tickal, Psy.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER TICKAL, PSY.D., P.A. (NPI 1023477221) is a healthcare organization registered as a clinical in Maitland, Florida and active in the NPI registry since February 2016. The organization lists Jennifer Tickal, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1023477221

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJENNIFER TICKAL, PSY.D., P.A.

Location Address1555 N MAITLAND AVEMaitland, FL 32751-3325

Mailing Address2328 Foliage Oak TerOviedo, FL 32766-7021 · (321) 217-6086

Phone(813) 563-5676

Organization SubpartNo

Authorized OfficialJennifer TickalClinical Psychologist · (321) 217-6086

Enumeration DateFebruary 16, 2016

Last NPPES UpdateJanuary 18, 20216 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2021

✔ NPI 1023477221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY8723

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1555 N MAITLAND AVE, Maitland, FL 32751

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Tickal, Psy.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer Tickal, Psy.D., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Tickal, PSY.D.

Clinical Psychologist

NPI 1073823266

1555 N MAITLAND AVE
Maitland, FL 32751

(813) 563-5676

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Tickal, Psy.D., P.A.'s NPI number?

The NPI number for Jennifer Tickal, Psy.D., P.A. is 1023477221. It was assigned to this organization in the NPPES registry on February 16, 2016.

Where is Jennifer Tickal, Psy.D., P.A. located?

Jennifer Tickal, Psy.D., P.A. is located at 1555 N Maitland Ave, Maitland, FL 32751. The listed phone number is (813) 563-5676.

What is Jennifer Tickal, Psy.D., P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Tickal, Psy.D., P.A. enrolled in Medicare?

Yes. Jennifer Tickal, Psy.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer Tickal, Psy.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jennifer Tickal, Psy.D., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Tickal, Psy.D., P.A. was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.