LACY CHAVIS PSY.D.
NPI 1093020786
Psychologist in St Petersburg, FL

Active since August 18, 2010PECOS EnrolledAccepts Medicare Assignment
880 6TH ST S STE 420, ST PETERSBURG, FL 33701(727) 767-8477 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lacy Chavis Psy.d. NPPES

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

LACY CHAVIS PSY.D. (NPI 1093020786) is an individual psychologist in St Petersburg, Florida, licensed in Florida (PY8429) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1093020786
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLACY CHAVISCredential: PSY.D.
Location Address880 6TH ST S STE 420St Petersburg, FL 33701-4825
Mailing Address880 6th St S Ste 420St Petersburg, FL 33701-4825 · (727) 767-8477 · Fax (727) 767-8244
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 18, 2010
Last NPPES UpdateNovember 16, 2018
✔ NPI 1093020786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY8429
Definition
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.
880 6TH ST S STE 420, St Petersburg, FL 33701

Other Identifiers 3

Other1285628552NY · Agency Npi #
Other00355940NY · Agency Medicaid Provider Id
OtherWVE061NY · Agency Medicare Id#

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lacy Chavis Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779932850
PECOS Enrollment IDI20231214001955
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

2

Medicare enrollment records show Lacy Chavis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgical Oncology
601 7TH ST S STE 510
St Petersburg, FL 33701
  • Reassigned Medicare billing, Florida enrollment
  • 419 clinicians in this Medicare group
General Acute Care Hospital
1 TAMPA GENERAL CIRCLE
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 48 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Neuropsychologist
880 6TH ST S STE 420
ST PETERSBURG, FL 33701
Psychologist (Clinical)
880 6TH ST S STE 420
ST PETERSBURG, FL 33701

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 Lacy Chavis's NPI number?

The NPI number for Lacy Chavis is 1093020786. It was assigned to this individual provider in the NPPES registry on August 18, 2010.

Where is Lacy Chavis located?

Lacy Chavis practices at 880 6th St S Ste 420, St Petersburg, FL 33701. The listed phone number is (727) 767-8477.

What is Lacy Chavis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lacy Chavis enrolled in Medicare?

Yes. Lacy Chavis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lacy Chavis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Chavis reassigns Medicare benefits to 2 organizations: Tampa General Medical Group Inc (St Petersburg, FL) and Florida Health Sciences Center Inc (Tampa, 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 Lacy Chavis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacy Chavis accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lacy Chavis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacy Chavis was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.