THE FEDORA PSYCHOLOGICAL GROUP, LLC
NPI 1285970277
Psychologist in St Petersburg, FL

Active since December 18, 2012
1913 TYRONE BLVD N, ST PETERSBURG, FL 33710(727) 282-5573(813) 501-1173 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About The Fedora Psychological Group, Llc NPPES

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

THE FEDORA PSYCHOLOGICAL GROUP, LLC (NPI 1285970277) is a healthcare organization registered as a psychologist in St Petersburg, Florida and active in the NPI registry since December 2012. The organization lists Roberto Alves, President, as its authorized official.

NPPES Registry Identity

NPI1285970277
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameTHE FEDORA PSYCHOLOGICAL GROUP, LLC
Location Address1913 TYRONE BLVD NSt Petersburg, FL 33710-4841
Mailing AddressPo Box 49284Saint Petersburg, FL 33743-9284 · (727) 209-7792 · Fax (813) 501-1173
Fax(813) 501-1173
Organization SubpartNo
Authorized OfficialRoberto AlvesPresident · (727) 209-7792
Enumeration DateDecember 18, 2012
Last NPPES UpdateMay 13, 2016
✔ NPI 1285970277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY 8491
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.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PY 8491 (FL)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PY 8491 (FL)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY 8491 (FL)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License PY 8491 (FL)
1913 TYRONE BLVD N, St Petersburg, FL 33710

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

The Fedora Psychological Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to The Fedora Psychological Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1689879934
6339 22ND AVE N
Saint Petersburg, FL 33710
(503) 329-2162
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Psychologist
NPI 1235404724
10707 66TH ST N STE 9
Pinellas Park, FL 33782
(727) 314-5001
✔ PECOS✔ Accepts Medicare5.5 mi

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 The Fedora Psychological Group, LLC's NPI number?

The NPI number for The Fedora Psychological Group, LLC is 1285970277. It was assigned to this organization in the NPPES registry on December 18, 2012.

Where is The Fedora Psychological Group, LLC located?

The Fedora Psychological Group, LLC is located at 1913 Tyrone Blvd N, St Petersburg, FL 33710. The listed phone number is (727) 282-5573.

What is The Fedora Psychological Group, LLC's specialty?

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

Is The Fedora Psychological Group, LLC enrolled in Medicare?

Yes. The Fedora Psychological Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Fedora Psychological Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to The Fedora Psychological Group, 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Fedora Psychological Group, LLC was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.