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DR. KELLEY GILL PH.D.
NPI 1083087456
Psychologist - Clinical in Fort Lauderdale, FL

Active since November 07, 2015PECOS Enrolled
1752 NW 3RD TER, #213, FORT LAUDERDALE, FL 33311(203) 430-9108 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2019, Jan 6, 2017, Sep 14, 2016 (3 updates tracked since 2016).

About Dr. Kelley Gill Ph.d. NPPES

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

DR. KELLEY GILL PH.D. (NPI 1083087456) is an individual clinical provider in Fort Lauderdale, Florida, licensed in Florida (PY 9562) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1083087456
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELLEY GILLCredential: PH.D.
Location Address1752 NW 3RD TER, #213Fort Lauderdale, FL 33311-4885
Mailing Address1752 Nw 3rd Ter, #213Fort Lauderdale, FL 33311-4885 · (203) 430-9108
Phone(203) 430-9108
Sole ProprietorYes
Enumeration DateNovember 7, 2015
Last NPPES UpdateNovember 7, 20193 updates tracked since enumeration
✔ NPI 1083087456 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 · PY 9562
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.
1752 NW 3RD TER, Fort Lauderdale, FL 33311
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Secondary Practice Location 1

Location 13512 Quentin Rd Ste 110Brooklyn, NY 11234-4245 · Phone (718) 942-6595

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelley Gill Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelley Gill reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Martin D Segel Ph.D.
12 mi
Psychologist
4851 W HILLSBORO BLVD, A1
Coconut Creek, FL 33073
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Martin D Segel Phd
  • 5 clinicians in this Medicare group
NPI 1891974317 (954) 428-6020
Palm Beach Psychology Group, LLC
15 mi
Clinical
9970 CENTRAL PARK BLVD N, SUTIE 207
Boca Raton, FL 33428
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1487085809 (561) 245-4622
Mtca Psychological Services P.A.
16 mi
Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group
NPI 1740552322 (786) 414-6666

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kelley Gill's NPI number?

The NPI number for Kelley Gill is 1083087456. It was assigned to this individual provider in the NPPES registry on November 7, 2015.

Where is Kelley Gill located?

Kelley Gill practices at 1752 NW 3rd Ter #213, Fort Lauderdale, FL 33311. The listed phone number is (203) 430-9108.

What is Kelley Gill's specialty?

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

Is Kelley Gill enrolled in Medicare?

Yes. Kelley Gill is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelley Gill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Gill reassigns Medicare benefits to 3 organizations: Martin D Segel Ph.D. (Coconut Creek, FL), Palm Beach Psychology Group, LLC (Boca Raton, FL) and Mtca Psychological Services P.A. (North Miami Beach, FL). Each 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 Kelley Gill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelley Gill was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.