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KRISTY M FORARE PSYD LLC
NPI 1114162070
Psychologist - Clinical in Deland, FL

Active since December 08, 2008
1109 W EUCLID AVE, DELAND, FL 32720(386) 943-9040(386) 943-9937 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kristy M Forare Psyd Llc NPPES

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

KRISTY M FORARE PSYD LLC (NPI 1114162070) is a healthcare organization registered as a clinical in Deland, Florida and active in the NPI registry since December 2008. The organization lists Kristy Miller Forare, President, as its authorized official.

NPPES Registry Identity

NPI1114162070
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKRISTY M FORARE PSYD LLC
Location Address1109 W EUCLID AVEDeland, FL 32720-6553
Mailing Address1109 W Euclid AveDeland, FL 32720-6553 · (386) 943-9040 · Fax (386) 943-9937
Phone(386) 943-9040
Fax(386) 943-9937
Organization SubpartNo
Authorized OfficialKristy Miller ForarePresident · (386) 943-9040
Enumeration DateDecember 8, 2008
✔ NPI 1114162070 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 · PY7031
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.
1109 W EUCLID AVE, Deland, FL 32720
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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)

Kristy M Forare Psyd Llc 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 Kristy M Forare Psyd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kristy Forare, PSY.D.
Clinical Psychologist
NPI 1205080884
1109 W EUCLID AVE
Deland, FL 32720
(386) 943-9040
✔ 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 Kristy M Forare Psyd LLC's NPI number?

The NPI number for Kristy M Forare Psyd LLC is 1114162070. It was assigned to this organization in the NPPES registry on December 8, 2008.

Where is Kristy M Forare Psyd LLC located?

Kristy M Forare Psyd LLC is located at 1109 W Euclid Ave, Deland, FL 32720. The listed phone number is (386) 943-9040.

What is Kristy M Forare Psyd LLC's specialty?

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

Is Kristy M Forare Psyd LLC enrolled in Medicare?

Yes. Kristy M Forare Psyd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kristy M Forare Psyd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kristy M Forare Psyd LLC. 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 Kristy M Forare Psyd LLC was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.