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TANYA MICKLER, PH.D, P.A.
NPI 1356513055
Psychologist - Clinical in Gainesville, FL

Active since April 02, 2008
4965 SW 91ST TER, SUITE A, GAINESVILLE, FL 32608(352) 337-0551(352) 374-2166 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tanya Mickler, Ph.d, P.a. NPPES

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

TANYA MICKLER, PH.D, P.A. (NPI 1356513055) is a healthcare organization registered as a clinical in Gainesville, Florida and active in the NPI registry since April 2008. The organization lists Norma Box, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356513055
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTANYA MICKLER, PH.D, P.A.
Location Address4965 SW 91ST TER, SUITE AGainesville, FL 32608-8149
Mailing Address4965 Sw 91st Ter, Suite AGainesville, FL 32608-8149 · (352) 337-0551 · Fax (352) 374-2166
Phone(352) 337-0551
Fax(352) 374-2166
Organization SubpartNo
Authorized OfficialNorma BoxOffice Manager · (352) 337-0551
Enumeration DateApril 2, 2008
✔ NPI 1356513055 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 · PY5842
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.
4965 SW 91ST TER, Gainesville, FL 32608
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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)

Tanya Mickler, Ph.d, 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 Tanya Mickler, Ph.D, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Tanya Mickler, PHD
Clinical Psychologist
NPI 1497776587
4965 SW 91ST TER STE A
Gainesville, FL 32608
(352) 337-0551
✔ 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 Tanya Mickler, Ph.D, P.A.'s NPI number?

The NPI number for Tanya Mickler, Ph.D, P.A. is 1356513055. It was assigned to this organization in the NPPES registry on April 2, 2008.

Where is Tanya Mickler, Ph.D, P.A. located?

Tanya Mickler, Ph.D, P.A. is located at 4965 SW 91st Ter Suite A, Gainesville, FL 32608. The listed phone number is (352) 337-0551.

What is Tanya Mickler, Ph.D, P.A.'s specialty?

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

Is Tanya Mickler, Ph.D, P.A. enrolled in Medicare?

Yes. Tanya Mickler, Ph.D, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tanya Mickler, Ph.D, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Tanya Mickler, Ph.D, 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 Tanya Mickler, Ph.D, P.A. was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.