MOLLY LARSON, PH.D.
NPI 1447609649
Psychologist - Clinical in Indialantic, FL

Q: What is Larson Psychological Services, LLC's NPI number?

The NPI number for Larson Psychological Services, LLC is 1447609649. It was assigned to this organization in the NPPES registry on June 8, 2016. The provider is doing business as Molly Larson, Ph.D..

Q: What is Larson Psychological Services, LLC's specialty?

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

Active since June 08, 2016

122 4TH AVE, SUITE 200, INDIALANTIC, FL 32903(321) 327-3793 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Molly Larson, Ph.d. NPPES

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

MOLLY LARSON, PH.D. (NPI 1447609649) is a healthcare organization registered as a clinical in Indialantic, Florida and active in the NPI registry since June 2016. The organization lists Molly Larson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1447609649

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameLARSON PSYCHOLOGICAL SERVICES, LLC

Location Address122 4TH AVE, SUITE 200Indialantic, FL 32903-3112

Mailing Address122 4th Ave, Suite 200Indialantic, FL 32903-3112 · (321) 327-3793

Phone(321) 327-3793

Organization SubpartNo

Authorized OfficialMolly LarsonClinical Psychologist · (321) 327-3793

Enumeration DateJune 8, 2016

✔ NPI 1447609649 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 · PY9437

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.

122 4TH AVE, Indialantic, FL 32903

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Other Names 1

Doing Business AsMolly Larson, Ph.d.

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)

Molly Larson, Ph.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 Molly Larson, Ph.D., which bills Medicare for the services this clinician delivers.

Clinician (1)

Molly Larson, PH.D.

Clinical Psychologist

NPI 1548652795

140 DECATUR ST SE 1053
Atlanta, GA 30303

(404) 413-6245

✔ PECOS451 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 Larson Psychological Services, LLC's NPI number?

The NPI number for Larson Psychological Services, LLC is 1447609649. It was assigned to this organization in the NPPES registry on June 8, 2016. The provider is doing business as Molly Larson, Ph.D..

Where is Larson Psychological Services, LLC located?

Larson Psychological Services, LLC is located at 122 4th Ave Suite 200, Indialantic, FL 32903. The listed phone number is (321) 327-3793.

What is Larson Psychological Services, LLC's specialty?

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

Is Larson Psychological Services, LLC enrolled in Medicare?

Yes. Larson Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Larson Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Larson Psychological Services, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Larson Psychological Services, LLC was last updated on June 8, 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.