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ANDREA L GOCKLEY PSY D
NPI 1386356475
Psychologist - Clinical in Daytona Beach, FL

Active since December 20, 2022
128 ORANGE AVE, DAYTONA BEACH, FL 32114(386) 285-8978 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2025, Dec 20, 2022 (2 updates tracked since 2022).

About Andrea L Gockley Psy D NPPES

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

ANDREA L GOCKLEY PSY D (NPI 1386356475) is a healthcare organization registered as a clinical in Daytona Beach, Florida and active in the NPI registry since December 2022. The organization lists Andrea Gockley, President, as its authorized official.

NPPES Registry Identity

NPI1386356475
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameANDREA L GOCKLEY PSY D
Location Address128 ORANGE AVEDaytona Beach, FL 32114-4310
Mailing Address128 Orange AveDaytona Beach, FL 32114-4310 · (386) 285-8978
Phone(386) 285-8978
Organization SubpartNo
Authorized OfficialAndrea GockleyPresident · (706) 490-0810
Enumeration DateDecember 20, 2022
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1386356475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
128 ORANGE AVE, Daytona Beach, FL 32114
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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)

Andrea L Gockley Psy D 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 Andrea L Gockley Psy D, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrea Gockley, PSYD
Clinical Psychologist
NPI 1902310295
128 ORANGE AVE
Daytona Beach, FL 32114
(706) 490-0810
✔ 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 Andrea L Gockley Psy D's NPI number?

The NPI number for Andrea L Gockley Psy D is 1386356475. It was assigned to this organization in the NPPES registry on December 20, 2022.

Where is Andrea L Gockley Psy D located?

Andrea L Gockley Psy D is located at 128 Orange Ave, Daytona Beach, FL 32114. The listed phone number is (386) 285-8978.

What is Andrea L Gockley Psy D's specialty?

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

Is Andrea L Gockley Psy D enrolled in Medicare?

Yes. Andrea L Gockley Psy D is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrea L Gockley Psy D?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Andrea L Gockley Psy D. 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 Andrea L Gockley Psy D was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.