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TANYA J MICKLER PHD
NPI 1497776587
Psychologist - Clinical in Gainesville, FL

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
4965 SW 91ST TER, STE A, GAINESVILLE, FL 32608(352) 337-0551(352) 374-2166 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tanya J Mickler Phd NPPES

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

TANYA J MICKLER PHD (NPI 1497776587) is an individual clinical provider in Gainesville, Florida, licensed in Florida (PY5842) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1497776587
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTANYA J MICKLERCredential: PHD
Location Address4965 SW 91ST TER, STE AGainesville, FL 32608-8149
Mailing Address4965 Sw 91st Ter, Ste AGainesville, FL 32608-8149 · (352) 337-0551 · Fax (352) 374-2166
Phone(352) 337-0551
Fax(352) 374-2166
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 22, 2006
Last NPPES UpdateNovember 14, 2007
✔ NPI 1497776587 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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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanya J Mickler Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294952412
PECOS Enrollment IDI20200417000322
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 Tanya Mickler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tanya Mickler, Ph.D, P.A.
Same address
Clinical
4965 SW 91ST TER, SUITE A
Gainesville, FL 32608
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Tanya Mickler, Ph.D, PA
NPI 1356513055 (352) 337-0551

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
470 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32608 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 4

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

DR. TIMOTHY USHER KETTERSON JR. PH.D.
Psychologist (Counseling)
4965 SW 91ST TER, SUITE A
GAINESVILLE, FL 32608
Alachua County (352) 337-0551
TANYA MICKLER, PH.D, P.A.
Psychologist (Clinical)
4965 SW 91ST TER, SUITE A
GAINESVILLE, FL 32608
Alachua County (352) 337-0551
TIMOTHY U KETTERSON PHD PA
Psychologist (Counseling)
4965 SW 91ST TER, SUITE A
GAINESVILLE, FL 32608
Alachua County (352) 337-0551
TERESA M PICCIOCCHI PSYD INC
Psychologist (Clinical)
4965 SW 91ST TER, SUITE A
GAINESVILLE, FL 32608
Alachua County (352) 337-0551

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's NPI number?

The NPI number for Tanya Mickler is 1497776587. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Tanya Mickler located?

Tanya Mickler practices at 4965 SW 91st Ter Ste A, Gainesville, FL 32608. The listed phone number is (352) 337-0551.

What is Tanya Mickler's specialty?

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

Is Tanya Mickler enrolled in Medicare?

Yes. Tanya Mickler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tanya Mickler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Mickler reassigns Medicare benefits to Tanya Mickler, Ph.D, P.A. (Gainesville, 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 Tanya Mickler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tanya Mickler was last updated on November 14, 2007. 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.