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KALY PSYCHOLOGICAL SERVICES INC.
NPI 1114023132
Psychologist - Clinical in Tampa, FL

Active since September 16, 2006
10910 SHELDON ROAD, TAMPA, FL 33626(813) 796-8209(813) 891-1311 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Kaly Psychological Services Inc. NPPES

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

KALY PSYCHOLOGICAL SERVICES INC. (NPI 1114023132) is a healthcare organization registered as a clinical in Tampa, Florida and active in the NPI registry since September 2006. The organization lists Perry William Kaly, President, as its authorized official.

NPPES Registry Identity

NPI1114023132
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKALY PSYCHOLOGICAL SERVICES INC.
Location Address10910 SHELDON ROADTampa, FL 33626
Mailing Address10910 Sheldon RoadTampa, FL 33626 · (813) 796-8209 · Fax (813) 891-1311
Phone(813) 796-8209
Fax(813) 891-1311
Organization SubpartNo
Authorized OfficialPerry William KalyPresident · (813) 486-0398
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
✔ NPI 1114023132 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 · PY6377
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.
10910 SHELDON ROAD, Tampa, FL 33626
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaly Psychological Services Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20071029000116Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kaly Psychological Services Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Perry Kaly, PHD
Clinical Psychologist
NPI 1891747044
10910 SHELDON RD
Tampa, FL 33626
(813) 796-8029
✔ 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 Kaly Psychological Services Inc.'s NPI number?

The NPI number for Kaly Psychological Services Inc. is 1114023132. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Kaly Psychological Services Inc. located?

Kaly Psychological Services Inc. is located at 10910 Sheldon Road, Tampa, FL 33626. The listed phone number is (813) 796-8209.

What is Kaly Psychological Services Inc.'s specialty?

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

Is Kaly Psychological Services Inc. enrolled in Medicare?

Yes. Kaly Psychological Services Inc. is registered in the Medicare PECOS enrollment system.

When is Kaly Psychological Services Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kaly Psychological Services Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kaly Psychological Services Inc.. 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 Kaly Psychological Services Inc. was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.