1. Home
  2. Directory
  3. Florida
  4. St Petersburg
  5. Psychologist
  6. NPI Profile

DR. MICHAEL PATRICK MISSORY PSY.D
NPI 1437431509
Psychologist - Clinical in St Petersburg, FL

Active since September 15, 2011PECOS Enrolled
11300 4TH ST N, SUITE 115, ST PETERSBURG, FL 33716(727) 619-4477(727) 258-2348 Get Directions Write a Review

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

About Dr. Michael Patrick Missory Psy.d NPPES

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

DR. MICHAEL PATRICK MISSORY PSY.D (NPI 1437431509) is an individual clinical provider in St Petersburg, Florida, licensed in Florida (PY 8375) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1437431509
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL PATRICK MISSORYCredential: PSY.D
Location Address11300 4TH ST N, SUITE 115St Petersburg, FL 33716-2918
Mailing Address11300 4th St N, Suite 115St Petersburg, FL 33716-2918 · (727) 619-4477 · Fax (727) 258-2348
Phone(727) 619-4477
Fax(727) 258-2348
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 15, 2011
Last NPPES UpdateDecember 13, 2016
✔ NPI 1437431509 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 · PY 8375
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.
11300 4TH ST N, St Petersburg, FL 33716
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certificationFK170ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Patrick Missory Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597937540
PECOS Enrollment IDI20111017000525
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Missory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gateway Psychological Services, LLC
Same address
Psychologist
11300 4TH ST N, SUITE 115
St Petersburg, FL 33716
  • Reassigned Medicare billing, Florida enrollment
NPI 1992257240 (727) 619-4477

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON P HURLEY DC LLC
Chiropractor
11300 4TH ST N, STE 140
ST PETERSBURG, FL 33716
Pinellas County (813) 749-7162
GATEWAY PSYCHOLOGICAL SERVICES, LLC
Psychologist
11300 4TH ST N, SUITE 115
ST PETERSBURG, FL 33716
Pinellas County (727) 619-4477

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 Michael Missory's NPI number?

The NPI number for Michael Missory is 1437431509. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Where is Michael Missory located?

Michael Missory practices at 11300 4th St N Suite 115, St Petersburg, FL 33716. The listed phone number is (727) 619-4477.

What is Michael Missory's specialty?

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

Is Michael Missory enrolled in Medicare?

Yes. Michael Missory is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Missory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Missory reassigns Medicare benefits to Gateway Psychological Services, LLC (St Petersburg, FL). The 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 Michael Missory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Missory accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Michael Missory as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Missory was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.