GARY J. SANTUCCI, ED.S.,P.A.
NPI 1164299749
Counselor - Mental Health in Davie, FL
About Gary J. Santucci, Ed.s.,p.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY J. SANTUCCI, ED.S.,P.A. (NPI 1164299749) is a healthcare organization registered as a mental health in Davie, Florida and active in the NPI registry since December 2023. The organization lists Gary J Santucci, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gary J. Santucci, Ed.s.,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 Gary J. Santucci, Ed.S.,p.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Gary J. Santucci, Ed.S.,p.A.'s NPI number?
The NPI number for Gary J. Santucci, Ed.S.,p.A. is 1164299749. It was assigned to this organization in the NPPES registry on December 5, 2023.
Where is Gary J. Santucci, Ed.S.,p.A. located?
Gary J. Santucci, Ed.S.,p.A. is located at 4801 S University Dr Ste 238, Davie, FL 33328. The listed phone number is (954) 474-1119.
What is Gary J. Santucci, Ed.S.,p.A.'s specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Gary J. Santucci, Ed.S.,p.A. enrolled in Medicare?
Yes. Gary J. Santucci, Ed.S.,p.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gary J. Santucci, Ed.S.,p.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Gary J. Santucci, Ed.S.,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 Gary J. Santucci, Ed.S.,p.A. was last updated on December 5, 2023. 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.
# Gary J. Santucci, Ed.s.,p.a. · NPI 1164299749
Mental Health organization in Davie, Florida. Organization record, active in the CMS NPPES registry since December 5, 2023.
## Identity
- **NPI:** 1164299749 (Entity type: Organization)
- **Enumerated:** December 5, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Gary Santucci, OWNER
## Practice location
- **Address:** 4801 S UNIVERSITY DR STE 238, Davie, FL 33328-3836
- **Phone:** (954) 474-1119
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164299749) · Data from the CMS NPPES public registry.