SUNRISE PSYCHOLOGY LLC
NPI 1174094916
Community/Behavioral Health in Melbourne, FL
About Sunrise Psychology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNRISE PSYCHOLOGY LLC (NPI 1174094916) is a healthcare organization registered as a community/behavioral health in Melbourne, Florida and active in the NPI registry since December 2018. The organization lists Mylan Kaltman, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sunrise Psychology 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 Sunrise Psychology LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Melbourne, FL 32901
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 Sunrise Psychology LLC's NPI number?
The NPI number for Sunrise Psychology LLC is 1174094916. It was assigned to this organization in the NPPES registry on December 5, 2018.
Where is Sunrise Psychology LLC located?
Sunrise Psychology LLC is located at 101 E Florida Ave, Melbourne, FL 32901. The listed phone number is (321) 984-4600.
What is Sunrise Psychology LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Sunrise Psychology LLC enrolled in Medicare?
Yes. Sunrise Psychology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sunrise Psychology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Sunrise Psychology 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 Sunrise Psychology LLC was last updated on December 5, 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.
# Sunrise Psychology Llc · NPI 1174094916
Community/Behavioral Health organization in Melbourne, Florida. Organization record, active in the CMS NPPES registry since December 5, 2018.
## Identity
- **NPI:** 1174094916 (Entity type: Organization)
- **Enumerated:** December 5, 2018
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Mylan Kaltman, MANAGER
## Practice location
- **Address:** 101 E FLORIDA AVE, Melbourne, FL 32901-8301
- **Phone:** (321) 984-4600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1174094916) · Data from the CMS NPPES public registry.