COLLEEN M. PEARSON PSYD PLLC
NPI 1407308760
Psychologist in New York, NY
About Colleen M. Pearson Psyd Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN M. PEARSON PSYD PLLC (NPI 1407308760) is a healthcare organization registered as a psychologist in New York, New York and active in the NPI registry since November 2016. The organization maintains a secondary practice location in Fort Lauderdale and lists Colleen Pearson, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colleen M. Pearson Psyd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Colleen M. Pearson Psyd PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Fort Lauderdale, FL 33304
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 Colleen M. Pearson Psyd PLLC's NPI number?
The NPI number for Colleen M. Pearson Psyd PLLC is 1407308760. It was assigned to this organization in the NPPES registry on November 2, 2016.
Where is Colleen M. Pearson Psyd PLLC located?
Colleen M. Pearson Psyd PLLC is located at 165 Broadway Fl 23, New York, NY 10006. The listed phone number is (917) 725-4774.
What is Colleen M. Pearson Psyd PLLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Colleen M. Pearson Psyd PLLC enrolled in Medicare?
Yes. Colleen M. Pearson Psyd PLLC is registered in the Medicare PECOS enrollment system.
When is Colleen M. Pearson Psyd PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Colleen M. Pearson Psyd PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Colleen M. Pearson Psyd PLLC. 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 Colleen M. Pearson Psyd PLLC was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.